Individual provider Active NPI

Corrinn Jessica Cosaert, DDS

  • General Practice Dentistry
  • Louisville, CO
National Provider Identifier
1710053889
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8931 Issued in CO
Practice address
275 Century Cir Ste 275
Louisville, CO 80027-9729
Phone
(303) 666-4499
Fax
(303) 666-2119
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8931 CO Primary

Addresses

Primary practice location

275 Century Cir Ste 275
Louisville, CO 80027-9729

Mailing address

11895 Perry St
Westminster, CO 80031
Phone (720) 940-4355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8931COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1710053889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11895 PERRY ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80031",
            "telephone_number": "720-940-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CENTURY CIR STE 275",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279729",
            "telephone_number": "303-666-4499",
            "fax_number": "303-666-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSAERT",
        "first_name": "CORRINN",
        "middle_name": "JESSICA",
        "name_prefix": "Miss",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.