Organization Active NPI

Tobias W. Corcoran DDS PLLC

Doing business as Aurora Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • East Aurora, NY
National Provider Identifier
1033777461
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TOBIAS W. CORCORAN DDS PLLC
Doing business as
Aurora Smiles Pediatric Dentistry
Practice address
607 Oakwood Ave
East Aurora, NY 14052-2354
Phone
(716) 710-2888
Fax
(716) 805-7001
NPI assigned
May 31, 2019
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Melanie Spahn
Title
Office Manager
Phone
(716) 710-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

607 Oakwood Ave
East Aurora, NY 14052-2354

Mailing address

607 Oakwood Ave
East Aurora, NY 14052-2354
Phone (716) 710-2888

Other names 1

  • Aurora Smiles Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

607 Oakwood Ave
East Aurora, NY 14052
Phone (716) 710-2888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1033777461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 OAKWOOD AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522354",
            "telephone_number": "716-710-2888",
            "fax_number": "716-805-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 OAKWOOD AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522354",
            "telephone_number": "716-710-2888",
            "fax_number": "716-805-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBIAS W. CORCORAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "SPAHN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-710-2888"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Smiles Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.