Mary Ann Arevalo Corpus, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

41381 Issued in CA

Practice address

15720 Ventura Blvd Ste 301
Encino, CA 91436-2983

Phone

(818) 788-7181

Fax

(818) 907-1891

NPI assigned

May 16, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Mary Ann Corpus Professional Dental Corporation

  • Dentist
  • Encino, CA
  • NPI 1124224985
  NPD (past) Authorized official
• Jeremiah Beisel DDS, Inc.

  • Dental Clinic/Center
  • Encino, CA
  • NPI 1457906869
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457567133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 301",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362983",
            "telephone_number": "818-788-7181",
            "fax_number": "818-907-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 301",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362983",
            "telephone_number": "818-788-7181",
            "fax_number": "818-907-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPUS",
        "first_name": "MARY ANN",
        "middle_name": "AREVALO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Coppelson, MD
• Olivia Anne Copti, M.S., BCBA
• Enma Leticia Cordero Palencia
• Corevion Diagnostics LLC
• Kristine Cornell
• Daniela Corrales
• Cortex Behavioral Health, Corp.
• Daniel Jeremy Cosgrove, MD
• Malcolm David Cosgrove, MD
• Madison Bailey Cotta, M.A.

• Dentist in Encino, CA
• Providers in Encino, CA by specialty
• Dentist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.