Individual provider Active NPI

Jaymie Coria, DDS

  • Dentist
  • Placentia, CA
National Provider Identifier
1861653545
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52545 Issued in CA
Practice address
302 E Palm Dr Ste a
Placentia, CA 92870-3233
Phone
(714) 528-2053
Fax
(714) 528-1472
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 52545 CA Primary

Addresses

Primary practice location

302 E Palm Dr Ste a
Placentia, CA 92870-3233

Mailing address

302 E Palm Dr Ste a
Placentia, CA 92870-3233
Phone (171) 452-8205

Other practice location 1

18635 Soledad Canyon Rd Ste 108
Canyon Country, CA 91351-3723
Phone (661) 299-2525

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gina Dorfman, D.D.S., a.P.C. Past Accepting new patients
Alexander Lee Dental Corporation PastSince Mar 17, 2024 Accepting new patients
Jaymie Coria, D.D.S., Inc PastSince Jun 6, 2021 Accepting new patients
Robert J Genc DDS Dentist PastSince Jun 6, 2021 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1861653545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E PALM DR STE A",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703233",
            "telephone_number": "171-452-8205",
            "fax_number": "714-528-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E PALM DR STE A",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703233",
            "telephone_number": "714-528-2053",
            "fax_number": "714-528-1472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18635 Soledad Canyon Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Canyon Country",
            "state": "CA",
            "postal_code": "913513723",
            "country_code": "US",
            "telephone_number": "661-299-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORIA",
        "first_name": "JAYMIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2021-06-02",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.