Organization Active NPI

Jason M. Corradini D.D.S., PLLC

  • Health Maintenance Organization
  • Richland, MI
National Provider Identifier
1609274539
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
2901020022 Issued in MI
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.