Michael Joe Corley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22592 Issued in CA

Practice address

717 Walnut Dr
Paso Robles, CA 93446-2315

Phone

(805) 238-5334

Fax

(805) 238-6470

NPI assigned

Jun 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Partnership for the Children of San Luis Obispo Co

  dba Tolosa Childrens Dental Center

  • Pediatric Dentistry
  • Paso Robles, CA
  • NPI 1033214283

  General Practice

  NPD (past)
• Tolosa Childrens Dental Center

  • Pediatric Dentistry
  • San Luis Obispo, CA
  • NPI 1295139590
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467657445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SECURITY CT",
            "city": "OCEANO",
            "state": "CA",
            "postal_code": "934459737",
            "telephone_number": "805-489-8941",
            "fax_number": "805-489-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 WALNUT DR",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462315",
            "telephone_number": "805-238-5334",
            "fax_number": "805-238-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "MICHAEL",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "22592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "D22592",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Health Centers of the Central Coast, Inc. (Comm Hlth Ctrs North County Pediatrics)
• Community Virtual Wellness
• Deborah Jean Comstock, LVN
• Connect Hearing, Inc.
• Linda Lafata Connolly, PHD, LMFT
• Joel Correa, DC
• Rachel H Cote, PT
• Jeannin Counts, PA-C
• County of San Luis Obispo
• County of San Luis Obispo (Community Mental Health Services)

• General Practice Dentistry in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• General Practice Dentistry 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.