Active NPI
James R. Corcoran, DDS, PA
Doing business as Pinehurst Endodontics
- Endodontics
- Pinehurst, NC
National Provider Identifier
1053617902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 8625
- Legal business name
- JAMES R. CORCORAN, DDS, PA
- Doing business as
- Pinehurst Endodontics
- Practice address
- 91 Aviemore Dr
Pinehurst, NC 28374-9797 - Phone
- (910) 295-9950
- Fax
- (910) 295-5076
- NPI assigned
- Feb 9, 2011
- Last updated
- Feb 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James R Corcoran, DDS
- Title
- President/Dentist
- Phone
- (910) 295-9950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 8625 | NC | Primary |
Addresses
Primary practice location
91 Aviemore Dr
Pinehurst, NC 28374-9797
Mailing address
91 Aviemore Dr
Pinehurst, NC 28374-9797
Phone (910) 295-9950
Other names 1
- Pinehurst Endodontics
National Provider Directory
National Provider DirectoryLocations
91 Aviemore Dr
Pinehurst, NC 28374
Phone (910) 295-9950
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Endodontics
- Pinehurst, NC
- NPI 1780654038
-
- Endodontics
- Pinehurst, NC
- NPI 1609846302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297209600000",
"number": "1053617902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 AVIEMORE DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283749797",
"telephone_number": "910-295-9950",
"fax_number": "910-295-5076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 AVIEMORE DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283749797",
"telephone_number": "910-295-9950",
"fax_number": "910-295-5076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES R. CORCORAN, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-09",
"last_updated": "2011-02-09",
"status": "A",
"authorized_official_last_name": "CORCORAN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT/DENTIST",
"authorized_official_telephone_number": "910-295-9950",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "NC",
"license": "8625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pinehurst Endodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.