Organization Active NPI

Christopher Pi Corsa DMD Ms PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Newburgh, NY
National Provider Identifier
1720437593
Registry record updated Jun 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
052958 Issued in NY
Legal business name
CHRISTOPHER PI CORSA DMD MS PC
Practice address
1401 Route 300 Ste 1081
Newburgh, NY 12550-6905
Phone
(845) 564-9300
NPI assigned
Jun 12, 2016
Last updated
Jun 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2016

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

Authorized official

Name
Christopher Corsa
Title
President
Phone
(650) 204-1357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 052958 NY Primary

Addresses

Primary practice location

1401 Route 300 Ste 1081
Newburgh, NY 12550-6905

Mailing address

432 York Dr
Benicia, CA 94510-1425

Other identifiers 1

IdentifierTypeStateIssuer
03204886MedicaidNY

National Provider Directory

National Provider Directory

Locations

1401 Route 300
Ste 1081
Newburgh, NY 12550
Phone (845) 564-9300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465689600000",
    "number": "1720437593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 YORK DR",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945101425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ROUTE 300 STE 1081",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506905",
            "telephone_number": "845-564-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER PI CORSA DMD MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-12",
        "last_updated": "2016-06-12",
        "status": "A",
        "authorized_official_last_name": "CORSA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-204-1357"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "052958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03204886",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2016; 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.