Individual provider Active NPI

Corazon C Inocencio, DMD

  • Dentist
  • Milpitas, CA
National Provider Identifier
1720158827
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40834 Issued in CA
Practice address
991 Montague Expressway
Suite 205
Milpitas, CA 95035-6819
Phone
(408) 946-8898
Fax
(408) 946-1814
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 40834 CA Primary

Addresses

Primary practice location

991 Montague Expressway
Suite 205
Milpitas, CA 95035-6819

Mailing address

991 Montague Expressway
Suite 205
Milpitas, CA 95035-6819
Phone (408) 946-8898

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
40834CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Madhavi Vangala DMD Inc PastSince Apr 1, 2024 Accepting new patients
Corazon C. Inocencio Apdc Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720158827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 MONTAGUE EXPRESSWAY",
            "address_2": "SUITE 205",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356819",
            "telephone_number": "408-946-8898",
            "fax_number": "408-946-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MONTAGUE EXPRESSWAY",
            "address_2": "SUITE 205",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356819",
            "telephone_number": "408-946-8898",
            "fax_number": "408-946-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INOCENCIO",
        "first_name": "CORAZON",
        "middle_name": "C",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.