Carisse Corns, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12011775A Issued in IN

Practice address

1111 Cumberland Xing
Valparaiso, IN 46383-2356

Phone

(219) 286-6148

Fax

(219) 286-6149

NPI assigned

Jun 11, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Growing Smiles Pediatric Dentistry PC

  • Pediatric Dentistry
  • Valparaiso, IN
  • NPI 1447664404
  NPD (past) Authorized official

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1366679789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CUMBERLAND XING",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832356",
            "telephone_number": "219-286-6148",
            "fax_number": "219-286-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CUMBERLAND XING",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832356",
            "telephone_number": "219-286-6148",
            "fax_number": "219-286-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNS",
        "first_name": "CARISSE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "57461",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12011775A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Laurence Cordray, DO
• Corner Sun Wellness, LLC
• Amanda C Cornett, LMHCA
• Margaret Cornett
• Alan Edward Corns, DDS
• Shelby Cornwall, RBT
• Eleanie Blessing Cortez
• Jessica Coslet
• Cosmopolitan Dentistry
• Shannon Brook Costella, MSPT, CERT MDT

• Pediatric Dentistry in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.