Organization Active NPI

Corson Dentistry

  • Dentist
  • Denver, CO
National Provider Identifier
1770878415
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8567 Issued in IN
Legal business name
CORSON DENTISTRY
Practice address
5307 E Yale Ave
Suite 1
Denver, CO 80222-6901
Phone
(303) 587-9898
NPI assigned
Jun 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
George Michael Corson V, DDS
Title
Owner
Phone
(303) 587-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8567 IN Primary

Addresses

Primary practice location

5307 E Yale Ave
Suite 1
Denver, CO 80222-6901

Mailing address

5307 E Yale Ave
Suite 1
Denver, CO 80222-6901
Phone (303) 587-9898

National Provider Directory

National Provider Directory

Locations

5307 E Yale Ave
Unit 1
Denver, CO 80222
Phone (303) 587-9898

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1770878415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 E YALE AVE",
            "address_2": "SUITE 1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226901",
            "telephone_number": "303-587-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 E YALE AVE",
            "address_2": "SUITE 1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226901",
            "telephone_number": "303-587-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORSON DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "CORSON",
        "authorized_official_first_name": "GEORGE MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-587-9898",
        "authorized_official_name_suffix": "V",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "8567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.