Individual provider Active NPI

Anne M Corso

  • General Practice Dentistry
  • Fishers, IN
National Provider Identifier
1477339497
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.034240 Issued in IL
Practice address
10078 Lantern Rd
Fishers, IN 46037-9685
Phone
(317) 570-9000
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019.034240 IL Primary

Addresses

Primary practice location

10078 Lantern Rd
Fishers, IN 46037-9685

Mailing address

10078 Lantern Rd
Fishers, IN 46037-9685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.034240ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Smiles Dental CurrentSince Sep 24, 2023 Accepting new patients
Michet Dental Offices P.C. General Practice PastSince Sep 10, 2023 Accepting new patients
Endodontic Specialists Single Specialty Past Accepting new patients

Locations

9541 S Pulaski Rd
Evergreen Park, IL 60805
Phone (708) 424-2220

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1477339497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10078 LANTERN RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10078 LANTERN RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379685",
            "telephone_number": "317-570-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSO",
        "first_name": "ANNE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.034240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.