Individual provider Active NPI

Joseph Peter Coromelas, DDS

  • Dentist
  • Denver, CO
National Provider Identifier
1427728641
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11511 Issued in OR
Practice address
8400 East Yale Avenue, Apt. #4-303
Denver, CO 80231
Phone
(562) 405-2370
NPI assigned
Sep 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 106932 CA
Dentist 122300000X 11511 OR Primary

Addresses

Primary practice location

8400 East Yale Avenue, Apt. #4-303
Denver, CO 80231

Mailing address

8400 East Yale Avenue, Apt. #4-303
Denver, CO 80231
Phone (562) 405-2370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20251114001127 OR Order and Referring Only - DentistPractitioner - Dentist 2163913450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11511ORMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1427728641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 EAST YALE AVENUE, APT. #4-303",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80231",
            "telephone_number": "562-405-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 EAST YALE AVENUE, APT. #4-303",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80231",
            "telephone_number": "562-405-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COROMELAS",
        "first_name": "JOSEPH",
        "middle_name": "PETER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-18",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106932",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "11511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.