Active NPI
Jenna Corcoran
- Dental Hygienist
- Schofield Barracks, HI
National Provider Identifier
1750930970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH011385
- Practice address
- BLDG 660 McCornack Road
Schofield Barracks, HI 96857 - Phone
- (808) 433-6825
- NPI assigned
- Sep 10, 2019
- Last updated
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH011385 | GA | Primary |
Addresses
Primary practice location
BLDG 660 McCornack Road
Schofield Barracks, HI 96857
Mailing address
2553 Puu Hapapa Loop
Wahiawa, HI 96786-7046
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
| License | State | Type | Specialty |
|---|---|---|---|
| DH011385 | GA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1750930970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2553 PUU HAPAPA LOOP",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967867046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 660 MCCORNACK ROAD",
"city": "SCHOFIELD BARRACKS",
"state": "HI",
"postal_code": "96857",
"telephone_number": "808-433-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORCORAN",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "GA",
"license": "DH011385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schofield Barracks, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.