Active NPI
Brandon Ali Koroni, DMD
- Oral and Maxillofacial Radiology Dentistry
- Chapel Hill, NC
National Provider Identifier
1417599309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Radiology Dentistry
- License
- 11522
- Practice address
- 385 S Columbia St.
Chapel Hill, NC 27516 - Phone
- (832) 276-3783
- NPI assigned
- Oct 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 11522 | NC | Primary |
Addresses
Primary practice location
385 S Columbia St.
Chapel Hill, NC 27516
Mailing address
385 S Columbia St
Chapel Hill, NC 27516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11522 | NC | MD | Oral and Maxillofacial Radiology Dentist |
Interoperability endpoints
- bkoroni586710@direct.unc.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1417599309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 S COLUMBIA ST",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "27516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 S COLUMBIA ST.",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "27516",
"telephone_number": "832-276-3783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORONI",
"first_name": "BRANDON",
"middle_name": "ALI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-11",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "NC",
"license": "11522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.