Corey R. Acree DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48870 Issued in CA

Legal business name

COREY R. ACREE DDS, INC.

Doing business as

Downey Park Family Dentistry

Practice address

1213 Coffee Road
Suite B
Modesto, CA 95355

Phone

(209) 529-0674

Fax

(209) 529-1437

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Corey Robert Acree, DDSNPI 1043317944

Title

President

Phone

(209) 529-0674

Specialties & licenses 1

Addresses

Other names 1

• Downey Park Family Dentistry Doing business as

Locations

Practitioners 1

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

• Corey Robert Acree, DDS

  • Dentist
  • Modesto, CA
  • NPI 1043317944
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1679670574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 COFFEE ROAD",
            "address_2": "SUITE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-529-0674",
            "fax_number": "209-529-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 COFFEE ROAD",
            "address_2": "SUITE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-529-0674",
            "fax_number": "209-529-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY R. ACREE DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "ACREE",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-529-0674",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downey Park Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Anahi Cordova-Mendoza
• Desiray Cordova
• Leah Rae Cordova
• Patricia Cordova
• Core Therapy, Inc.
• Cyndel Corgiat, CMT
• Michele Diana Corgiat, MFT
• Jorge Coria Pena
• Eduardo Corjasso Jr.
• Alyson Cornelius, PHARMD

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• General Practice Dentistry in California

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