Corpodian Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

62505 Issued in CA

Legal business name

CORPODIAN DENTAL CORPORATION

Practice address

120 Tustin Ave
C252
Newport Beach, CA 92663-4729

Phone

(702) 370-1644

NPI assigned

Feb 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Corey Corpodian, DDS

Title

Owner/Doctor/President

Phone

(702) 370-1644

Specialties & licenses 1

Addresses

Other names 1

• Corpodian Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1447675368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TUSTIN AVE",
            "address_2": "C252",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634729",
            "telephone_number": "702-370-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TUSTIN AVE",
            "address_2": "C252",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634729",
            "telephone_number": "702-370-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPODIAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "CORPODIAN",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER/DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "702-370-1644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "62505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corpodian Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coronado Surgery Center LLC
• Alissa Coronado
• Sulema Coronado
• Lexy Coronel
• Liliana Coronel
• Corey Corpodian, D.D.S.
• Elizabeth Correa Nery
• James William Correa, DDS
• Julie Irene Cortell, REGISTERED NURSE
• Elizabeth Cortes

• Orthodontics and Dentofacial Orthopedics Dentistry in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.