Individual provider Active NPI

Corey Toscano, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Offutt Afb, NE
National Provider Identifier
1871027367
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
61923 Issued in KS
Practice address
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Phone
(402) 232-2273
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DDS-10040 IA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 7789 NE
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 61923 KS Primary

Addresses

Primary practice location

2501 Capehart Rd
Offutt Afb, NE 68113-1043

Mailing address

2501 Capehart Rd
Offutt Afb, NE 68113-1043
Phone (789) 886-0054

Other practice location 1

5350 Kirkwood Blvd SW Ste 700
Cedar Rapids, IA 52404-5234
Phone (319) 366-0600

Other practice location 2

4301 State Ave Bldg A
Kansas City, KS 66102-3719
Phone (913) 287-7977

Other practice location 3

2037 SE 29th St
Topeka, KS 66605-2457
Phone (785) 267-9500

Other practice location 4

2491 128th Street
Urbandale, IA 59323
Phone (515) 223-5555

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

State licenses

LicenseStateTypeSpecialty
DDS-10040IAMDOral and Maxillofacial Surgery (Dentist)
61923KSMDOral and Maxillofacial Surgery (Dentist)
7789NEMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
North Carriage Dental PA Oral and Maxillofacial Surgery Past Accepting new patients
47TH Street Dental Center, LLC Past Accepting new patients

Organizations & group practices 2

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1871027367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CAPEHART RD",
            "city": "OFFUTT AFB",
            "state": "NE",
            "postal_code": "681131043",
            "telephone_number": "789-886-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CAPEHART RD",
            "city": "OFFUTT AFB",
            "state": "NE",
            "postal_code": "681131043",
            "telephone_number": "402-232-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 Kirkwood Blvd SW Ste 700",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524045234",
            "country_code": "US",
            "telephone_number": "319-366-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 State Ave Bldg A",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661023719",
            "country_code": "US",
            "telephone_number": "913-287-7977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2037 SE 29th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666052457",
            "country_code": "US",
            "telephone_number": "785-267-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2491 128th Street",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "59323",
            "country_code": "US",
            "telephone_number": "515-223-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOSCANO",
        "first_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IA",
            "license": "DDS-10040",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NE",
            "license": "7789",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "61923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Offutt Afb, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.