Active NPI
Daniel M Corcoran, DVM
- Veterinarian
- Mesa, AZ
National Provider Identifier
1881979391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 6239
- Practice address
- 744 N Center St
Suite 101
Mesa, AZ 85201-5084 - Phone
- (480) 275-7017
- NPI assigned
- Oct 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | VT 60014477 | WA | |
| Veterinarian | 174M00000X | 6824 | OR | |
| Veterinarian | 174M00000X | 6239 | AZ | Primary |
Addresses
Primary practice location
744 N Center St
Suite 101
Mesa, AZ 85201-5084
Mailing address
744 N Center St
Suite 101
Mesa, AZ 85201-5084
Phone (480) 275-7017
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6824 | OR | MD | Clinical Social Worker |
| VT 60014477 | WA | MD | Veterinarian |
| 6239 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376784000000",
"number": "1881979391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 N CENTER ST",
"address_2": "SUITE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852015084",
"telephone_number": "480-275-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 N CENTER ST",
"address_2": "SUITE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852015084",
"telephone_number": "480-275-7017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORCORAN",
"first_name": "DANIEL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-15",
"last_updated": "2013-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "WA",
"license": "VT 60014477",
"primary": false
},
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "OR",
"license": "6824",
"primary": false
},
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "AZ",
"license": "6239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.