NPIMap

Organization Active NPI

Timothy a Corcoran DDS Inc

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1184031502
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23492 Issued in CA
Legal business name
TIMOTHY A CORCORAN DDS INC
Practice address
827 Blossom Hill Rd Ste E7
San Jose, CA 95123-2701
Phone
(408) 578-7121
Fax
(408) 578-7127
NPI assigned
Jul 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Timothy Corcoran, DDSNPI 1437172061
Title
Dentist
Phone
(408) 578-7121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23492 CA Primary

Addresses

Primary practice location

827 Blossom Hill Rd Ste E7
San Jose, CA 95123-2701

Mailing address

827 Blossom Hill Rd Ste E7
San Jose, CA 95123-2701
Phone (408) 578-7121

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1184031502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 BLOSSOM HILL RD STE E7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951232701",
            "telephone_number": "408-578-7121",
            "fax_number": "408-578-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 BLOSSOM HILL RD STE E7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951232701",
            "telephone_number": "408-578-7121",
            "fax_number": "408-578-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY A CORCORAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-578-7121",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.