Paul Corcoran, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104799 Issued in CO

Practice address

195 W 14TH Ste C
Rifle, CO 81650-4717

Phone

(970) 945-2840

Fax

(970) 945-2893

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1801995295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 S FRONTAGE RD W",
            "address_2": "SUITE 104",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575710",
            "telephone_number": "970-476-3991",
            "fax_number": "970-476-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W 14TH STE C",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816504717",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Blake Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Glenwood Springs",
            "state": "CO",
            "postal_code": "816014206",
            "country_code": "US",
            "telephone_number": "970-945-2840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "953 S Frontage Rd W",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816575710",
            "country_code": "US",
            "telephone_number": "970-476-3991",
            "fax_number": "970-476-1625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "104799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colorado Department of Corrections
• Colorado River Fire Rescue
• Colorado West Regional Mental Health Inc.
• Colorado West Regional Mental Health, Inc.
• Colorado West Regional Mental Health, Inc.
• Heath Earl Cotter, M.D.
• Sabina Cotter, R.D.
• Trumon Otto Craft IV, MSN, A-GNP
• Geoffrey Curtis, MS, ACSM-EP
• Donavan Dacares

• General Practice Dentistry in Rifle, CO
• Providers in Rifle, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.