Individual provider Active NPI

Dennis A Corona, D.D.S.

  • General Practice Dentistry
  • Bradenton, FL
National Provider Identifier
1093710436
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13483 Issued in FL
Practice address
3633 Cortez Rd W
Ste A01
Bradenton, FL 34210-3100
Phone
(941) 753-5857
Fax
(941) 753-6186
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13483 FL Primary

Addresses

Primary practice location

3633 Cortez Rd W
Ste A01
Bradenton, FL 34210-3100

Mailing address

3633 Cortez Rd W
Ste A01
Bradenton, FL 34210-3100
Phone (941) 753-5857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13483FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
College Plaza Dental Center Past Accepting new patients
Dental Center (Bradenton) P.a. Past Accepting new patients
Manatee Dental PA PastSince Jan 15, 2007 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1093710436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 CORTEZ RD W",
            "address_2": "STE A01",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103100",
            "telephone_number": "941-753-5857",
            "fax_number": "941-753-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 CORTEZ RD W",
            "address_2": "STE A01",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103100",
            "telephone_number": "941-753-5857",
            "fax_number": "941-753-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONA",
        "first_name": "DENNIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "13483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.