Ben Michael Corpron, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33478 Issued in TX

Practice address

5915 La Crosse Ave Ste 105
Austin, TX 78739-1747

Phone

(919) 740-5096

NPI assigned

Aug 12, 2015

Sex

Male

Sole proprietor

No

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

State licenses

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.

• Blue Sky Family Dentistry

  • Dental Clinic/Center
  • Austin, TX
  • NPI 1679071633
  NPD (past) Authorized official

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457727463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CROOKED LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413907",
            "telephone_number": "919-740-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 LA CROSSE AVE STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787391747",
            "telephone_number": "919-740-5096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Ocean Pkwy Apt 2A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112182579",
            "country_code": "US",
            "telephone_number": "919-740-5096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Ocean Pkwy Apt 2A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112182579",
            "country_code": "US",
            "telephone_number": "919-740-5096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORPRON",
        "first_name": "BEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Corona
• Olivia Corona
• Brittanny A Coronado
• Victoria Jane Coronado, LPC
• Corporate Training and Seminar Services
• Gremar Corpuz
• Cynthia Cecilia Corral, LCSW
• Amanda Catherine Correa, DPT
• Felicia Ann Correa, LPC
• Kandice Correa

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.