Organization Active NPI

Koren & Associates DDS III PA

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1346750411
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6997 Issued in NC
Legal business name
KOREN & ASSOCIATES DDS III PA
Practice address
7980 Arco Corporate Dr Ste 2
Raleigh, NC 27617-2032
Phone
(919) 528-0800
Fax
(888) 818-4195
NPI assigned
Oct 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Authorized official

Name
Janet Lynn Corbley
Title
Ceo
Phone
(919) 528-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6997 NC Primary

Addresses

Primary practice location

7980 Arco Corporate Dr Ste 2
Raleigh, NC 27617-2032

Mailing address

4112 Pleasant Valley Rd Ste 212
Raleigh, NC 27612-2634
Phone (919) 528-0800

Other names 1

  • Total Smiles of Brier Creek Doing business as

National Provider Directory

National Provider Directory

Locations

7980 Arco Corporate Dr
Ste 2
Raleigh, NC 27617
Phone (919) 528-0800

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1346750411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 PLEASANT VALLEY RD STE 212",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122634",
            "telephone_number": "919-528-0800",
            "fax_number": "888-818-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 ARCO CORPORATE DR STE 2",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276172032",
            "telephone_number": "919-528-0800",
            "fax_number": "888-818-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOREN & ASSOCIATES DDS III PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "CORBLEY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-528-0800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Smiles of Brier Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.