Ronald Soriano Corcuera, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7806 Issued in NV

Practice address

6545 S Fort Apache Rd Ste 110
Las Vegas, NV 89148-6753

Phone

(702) 331-4444

NPI assigned

May 23, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Giang Lam a Profession Corp

  • Preferred Provider Organization
  • Las Vegas, NV
  • NPI 1639411473
  NPD (past)

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1861184343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 ANTELOPE HILL CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890122183",
            "telephone_number": "702-439-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 S FORT APACHE RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486753",
            "telephone_number": "702-331-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCUERA",
        "first_name": "RONALD",
        "middle_name": "SORIANO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7806",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Corbin, MD
• Lashante Monique Corbin
• Brittany Corbitt
• Brook Bradford Corbitt, PT
• Joseph Robert Corbo
• Donyel Cordas, LPN
• Anthony J Cordeiro
• Kelsey Cordell
• Roberto Cordella
• Angelo Cordello

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

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

Verify at the official NPI Registry.