Organization Active NPI

Koren & Associates DDS II PA

Doing business as Dental Smiles of NC

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1063880045
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6997 Issued in NC
Legal business name
KOREN & ASSOCIATES DDS II PA
Doing business as
Dental Smiles of NC
Practice address
4112 Pleasant Valley Rd Ste 200
Raleigh, NC 27612-2634
Phone
(919) 528-0800
Fax
(888) 818-4195
NPI assigned
Sep 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Janet Lynn Corbley
Title
Ceo
Phone
(919) 528-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6997 NC Primary

Addresses

Primary practice location

4112 Pleasant Valley Rd Ste 200
Raleigh, NC 27612-2634

Mailing address

4112 Pleasant Valley Rd Ste 200
Raleigh, NC 27612-2634
Phone (919) 341-7555

Other names 1

  • Dental Smiles of NC Doing business as

National Provider Directory

National Provider Directory

Locations

4112 Pleasant Valley Rd
Ste 200
Raleigh, NC 27612
Phone (919) 528-0800

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1063880045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 PLEASANT VALLEY RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122634",
            "telephone_number": "919-341-7555",
            "fax_number": "919-926-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 PLEASANT VALLEY RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122634",
            "telephone_number": "919-528-0800",
            "fax_number": "888-818-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOREN & ASSOCIATES DDS II PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "CORBLEY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-528-0800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Smiles of NC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Smiles of NC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.