Corey Joseph Cloud, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10692 Issued in TN

Practice address

500 Lentz Dr Ste 40
Madison, TN 37115

Phone

(615) 868-9057

Fax

(615) 868-0234

NPI assigned

Apr 7, 2014

Last updated

Jul 31, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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

• DRS Johnston & Richardson

  • Pediatric Dentistry
  • Russellville, AR
  • NPI 1073688131
  NPD (past)
• DRS. Johnston & Lawrence

  • Pediatric Dentistry
  • Russellville, AR
  • NPI 1265825004
  NPD (past)
• Scott G Milo DMD PA

  dba Brevard Pediatric Dental Associates

  • Pediatric Dentistry
  • Merritt Island, FL
  • NPI 1487792800
  NPD (past)

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1629497656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 N COURTENAY PKWY STE 105",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534050",
            "telephone_number": "321-453-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LENTZ DR STE 40",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "37115",
            "telephone_number": "615-868-9057",
            "fax_number": "615-868-0234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 W C Pl",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728012705",
            "country_code": "US",
            "telephone_number": "479-968-8338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 W C Pl",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728012705",
            "country_code": "US",
            "telephone_number": "479-968-8338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2405 N Courtenay Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329534050",
            "country_code": "US",
            "telephone_number": "321-453-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOUD",
        "first_name": "COREY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "4029",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "22879",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "10692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deonna Clark, OTR/L
• Jessey Dee Clark, PHARM.D.
• Clear Glass, LLC
• Joel Clements, RPH
• Emma Taylor Clifton, RN
• Timothy Andrew Clouse, LCSW
• Brandon Cobos
• Hailie Carol Cochran, NBC-HWC
• Madison Sierra Coker, RN
• Lillie Katherine Cole

• Pediatric Dentistry in Madison, TN
• Providers in Madison, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.