Active NPI
Jason M. Corradini D.D.S., PLLC
- Health Maintenance Organization
- Richland, MI
National Provider Identifier
1609274539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 2901020022
- Legal business name
- JASON M. CORRADINI D.D.S., PLLC
- Practice address
- 8634 N 32ND St
Richland, MI 49083-8555 - Phone
- (269) 629-7156
- Fax
- (269) 629-3359
- NPI assigned
- Dec 9, 2014
- Last updated
- Dec 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maria Lucinda Corradini
- Title
- Office Manager
- Phone
- (269) 808-7974
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 2901020022 | MI | Primary |
Addresses
Primary practice location
8634 N 32ND St
Richland, MI 49083-8555
Mailing address
8634 N 32ND St
Richland, MI 49083-8555
Phone (269) 629-7156
Other names 1
- Jason M. Corradini
National Provider Directory
National Provider DirectoryLocations
8634 N 32nd St
Richland, MI 49083
Phone (269) 629-7156
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Richland, MI
- NPI 1427284330
-
- Dentist
- Richland, MI
- NPI 1326097965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418083200000",
"number": "1609274539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8634 N 32ND ST",
"city": "RICHLAND",
"state": "MI",
"postal_code": "490838555",
"telephone_number": "269-629-7156",
"fax_number": "269-629-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8634 N 32ND ST",
"city": "RICHLAND",
"state": "MI",
"postal_code": "490838555",
"telephone_number": "269-629-7156",
"fax_number": "269-629-3359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASON M. CORRADINI D.D.S., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-09",
"last_updated": "2014-12-09",
"status": "A",
"authorized_official_last_name": "CORRADINI",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "LUCINDA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "269-808-7974",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "MI",
"license": "2901020022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jason M. Corradini",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Richland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.