Gary J Core, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2928 Issued in AZ

Practice address

13821 N 35TH Dr Ste 1
Phoenix, AZ 85053-5541

Phone

(602) 866-1429

Fax

(602) 866-1437

NPI assigned

Apr 24, 2007

Last updated

Jun 20, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 AZ

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

Specialty

Oral Surgery

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• TMJ of Arizona LLC

  dba Core Sleep Solutions

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1376815779
  Medicare reassignment NPD Authorized official
• TMJ of Arizona LLC

  dba Core Sleep Solutions

  • Durable Medical Equipment & Medical Supplies
  • Chandler, AZ
  • NPI 1891104790
  NPD Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1215156799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13821 N 35TH DR STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850535541",
            "telephone_number": "602-866-1429",
            "fax_number": "602-866-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13821 N 35TH DR STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850535541",
            "telephone_number": "602-866-1429",
            "fax_number": "602-866-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORE",
        "first_name": "GARY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Health Services, Inc
• Core Medical Group Inc
• Core Recovery LLC
• Core Recovery LLC
• Amber Nicole Core, RD
• Corebella Health and Wellness LLC (Brightview Health)
• Karla Corella Velarde
• Stephanie Danielle Corella, FNP
• Corey L Detlefs MD
• Corey S Bruce MD LTD

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.