Patrick D. Coriz

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD1919 Issued in NM

Practice address

3500 Trinity Dr
Suite B-1
Los Alamos, NM 87544-1775

Phone

(505) 662-3163

Fax

(505) 662-1689

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144356908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 TRINITY DR",
            "address_2": "SUITE B-1",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875441775",
            "telephone_number": "505-662-3163",
            "fax_number": "505-662-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 TRINITY DR",
            "address_2": "SUITE B-1",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875441775",
            "telephone_number": "505-662-3163",
            "fax_number": "505-662-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORIZ",
        "first_name": "PATRICK",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD1919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Victoria Cox
• Catharyn Dianne Crall, MS, LMHC, NCC

• General Practice Dentistry in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.