Active NPI
Richard N Corwin, DDS
- Dentist
- Oklahoma City, OK
National Provider Identifier
1164538104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3769
- Practice address
- 1201 N Stonewall Ave
Oklahoma City, OK 73117-1214 - Phone
- (405) 271-6326
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3769 | OK | Primary |
Addresses
Primary practice location
1201 N Stonewall Ave
Oklahoma City, OK 73117-1214
Mailing address
1201 N Stonewall Ave
Oklahoma City, OK 73117-1214
Phone (405) 271-6326
Other practice location 1
7901 NE 10th St
Midwest City, OK 73110-3600
Phone (405) 732-1012
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3769 | OK | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1164538104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N STONEWALL AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731171214",
"telephone_number": "405-271-6326",
"fax_number": "405-733-8296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N STONEWALL AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731171214",
"telephone_number": "405-271-6326"
}
],
"practiceLocations": [
{
"address_1": "7901 NE 10th St",
"address_purpose": "LOCATION",
"city": "Midwest City",
"state": "OK",
"postal_code": "731103600",
"country_code": "US",
"telephone_number": "405-732-1012",
"fax_number": "405-733-8296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORWIN",
"first_name": "RICHARD",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "3769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.