Organization Active NPI

James R. Corcoran, DDS, PA

Doing business as Pinehurst Endodontics

  • Endodontics
  • Pinehurst, NC
National Provider Identifier
1053617902
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
8625 Issued in NC
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.