Individual provider Active NPI

Corey Buring, DDS

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1023545233
Registry record updated Jul 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10840 Issued in OR
Practice address
5805 SE Milwaukie Ave
Portland, OR 97202
Phone
(503) 462-1538
NPI assigned
May 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X D10840 OR Primary

Addresses

Primary practice location

5805 SE Milwaukie Ave
Portland, OR 97202

Mailing address

7432 SW Miles PL
Portland, OR 97219-3087
Phone (541) 921-0968

Other practice location 1

4001 N Cook St
Spokane, WA 99207-5879
Phone (509) 326-4382

Other practice location 2

4001 N Cook St
Spokane, WA 99207-5879
Phone (509) 326-4382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D10840ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Buring Dental LLC Current Accepting new patients

Networks

  • WA PPO C-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530921600000",
    "number": "1023545233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7432 SW MILES PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193087",
            "telephone_number": "541-921-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97202",
            "telephone_number": "503-462-1538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 N Cook St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992075879",
            "country_code": "US",
            "telephone_number": "509-326-4382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 N Cook St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992075879",
            "country_code": "US",
            "telephone_number": "509-326-4382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURING",
        "first_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2018-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.