NPIMap

Organization Active NPI

Mason Dental Center, Matthew a Corcoran, DDS

  • General Practice Dentistry
  • Mason, OH
National Provider Identifier
1649388653
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-01-9670 Issued in OH
Legal business name
MASON DENTAL CENTER, MATTHEW A CORCORAN, DDS
Practice address
317 Reading Rd
Mason, OH 45040-1567
Phone
(513) 398-5946
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Matthew Anthony Corcoran, DDSNPI 1275641276
Title
Owner
Phone
(513) 398-5946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30-01-9670 OH Primary

Addresses

Primary practice location

317 Reading Rd
Mason, OH 45040-1567

Mailing address

317 Reading Rd
Mason, OH 45040-1567
Phone (513) 398-5946

National Provider Directory

National Provider Directory

Locations

317 Reading Rd
Mason, OH 45040
Phone (513) 398-5946

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649388653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 READING RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401567",
            "telephone_number": "513-398-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 READING RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401567",
            "telephone_number": "513-398-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON DENTAL CENTER, MATTHEW A CORCORAN, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-398-5946",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-01-9670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.