Active NPI
Rea Corley, DDS
- Dentist
- La Jolla, CA
National Provider Identifier
1760675532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56067
- Practice address
- 7433 Herschel Ave
Suite 1
La Jolla, CA 92037-5175 - Phone
- (858) 459-1600
- NPI assigned
- Aug 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 56067 | CA | Primary |
Addresses
Primary practice location
7433 Herschel Ave
Suite 1
La Jolla, CA 92037-5175
Mailing address
7433 Herschel Ave Ste 1
La Jolla, CA 92037-5175
Phone (858) 459-1600
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1760675532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7433 HERSCHEL AVE STE 1",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920375175",
"telephone_number": "858-459-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7433 HERSCHEL AVE",
"address_2": "SUITE 1",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920375175",
"telephone_number": "858-459-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORLEY",
"first_name": "REA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.