William Abney Corley, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

100881 Issued in CO

Practice address

540 E Abriendo Ave
Suite D
Pueblo, CO 81004-2374

Phone

(719) 545-8422

Fax

(719) 545-8422

NPI assigned

Oct 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ashok PC

  • Specialist
  • Pueblo, CO
  • NPI 1790819456
  NPD (past)

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1033202304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E ABRIENDO AVE",
            "address_2": "STE D",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042377",
            "telephone_number": "719-545-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E ABRIENDO AVE",
            "address_2": "SUITE D",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042374",
            "telephone_number": "719-545-8422",
            "fax_number": "719-545-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "WILLIAM",
        "middle_name": "ABNEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "100881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Cordova, PHARMD
• Carolyn Mary Cordova, RD,MPH,CDE
• Cheri Cordova
• Christa Cordova
• Laural Cordova
• Mario Jamie Cornejo
• Amber Laura Cornella, RDH
• Pamela Joy Cornella, NP
• Ellen L. Cornett, OTR
• Amanda Jean Corning

• Dentist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.