Active NPI
Barry F Corso DMD PA
- General Practice Dentistry
- Boca Raton, FL
National Provider Identifier
1750445334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN12672
- Legal business name
- BARRY F CORSO DMD PA
- Practice address
- 1590 NW 10TH Ave
Suite 403
Boca Raton, FL 33486-1313 - Phone
- (561) 395-7088
- Fax
- (561) 395-3482
- NPI assigned
- Dec 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry F Corso, DMD
- Title
- President
- Phone
- (561) 395-7088
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN12672 | FL | Primary |
Addresses
Primary practice location
1590 NW 10TH Ave
Suite 403
Boca Raton, FL 33486-1313
Mailing address
4229 Intracoastal Dr
Highland Beach, FL 33487-4209
Phone (561) 272-3611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN12672 | Other | FL | STATE OF FL DENTAL LICENS |
National Provider Directory
National Provider DirectoryLocations
1590 NW 10th Ave
Ste 403
Boca Raton, FL 33486
Phone (561) 395-7088
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Boca Raton, FL
- NPI 1871683813
-
- General Practice Dentistry
- Boca Raton, FL
- NPI 1093879520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750445334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4229 INTRACOASTAL DR",
"city": "HIGHLAND BEACH",
"state": "FL",
"postal_code": "334874209",
"telephone_number": "561-272-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 NW 10TH AVE",
"address_2": "SUITE 403",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334861313",
"telephone_number": "561-395-7088",
"fax_number": "561-395-3482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARRY F CORSO DMD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CORSO",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-395-7088",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN12672",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FL DENTAL LICENS",
"identifier": "DN12672",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
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.