Brian Del Core, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

034689 Issued in CA

Practice address

783 Rio del Mar Blvd
Suite 71-a
Aptos, CA 95003-4771

Phone

(831) 688-3012

Fax

(831) 688-3024

NPI assigned

Sep 20, 2006

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 CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376640458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 RIO DEL MAR BLVD",
            "address_2": "SUITE 71-A",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034771",
            "telephone_number": "831-688-3012",
            "fax_number": "831-688-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 RIO DEL MAR BLVD",
            "address_2": "SUITE 71-A",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034771",
            "telephone_number": "831-688-3012",
            "fax_number": "831-688-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL CORE",
        "first_name": "BRIAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "034689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antara Leonid De Bourbon, RN
• Molly Quigley De Mesa, DTCM, L.AC.
• Kimberly Ann De Serpa, L.C.S.W.
• Dearborn & Associates Institute for Joint Restoration
• Lisa Defaria, MSW/LCSW
• Delta Charter High School
• Anthony M Delzompo, MS PT
• Susan Lynn Deren Pandolfi, PT
• Denise L Diani, PT
• Nicole Marie Diaz

• All providers in Aptos, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.