Organization Active NPI

Corsi Hoey Pearson DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Rohnert Park, CA
National Provider Identifier
1215010467
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
25762 Issued in CA
Legal business name
CORSI HOEY PEARSON DDS INC
Practice address
1350 Medical Center Drive
Rohnert Park, CA 94928
Phone
(707) 584-1630
Fax
(707) 584-2394
NPI assigned
Oct 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jon Kenyon Scarr, DDS
Title
Provider
Phone
(707) 584-1630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 25762 CA Primary

Addresses

Primary practice location

1350 Medical Center Drive
Rohnert Park, CA 94928

Mailing address

1350 Medical Center Drive
Rohnert Park, CA 94928
Phone (707) 584-1630

National Provider Directory

National Provider Directory
Tax ID family
Corsi Hoey Pearson DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215010467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 MEDICAL CENTER DRIVE",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "94928",
            "telephone_number": "707-584-1630",
            "fax_number": "707-584-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 MEDICAL CENTER DRIVE",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "94928",
            "telephone_number": "707-584-1630",
            "fax_number": "707-584-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORSI HOEY PEARSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCARR",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "KENYON",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "707-584-1630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "25762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.