Corey Corpodian, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

62505 Issued in CA

Practice address

3 Corporate Plaza Dr
Suite 210
Newport Beach, CA 92660-7905

Phone

(949) 500-6428

NPI assigned

Sep 25, 2013

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Corey Corpodian DDS, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mission Viejo, CA
  • NPI 1740999895
  NPD Authorized official

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1891121695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CORPORATE PLAZA DR",
            "address_2": "SUITE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607905",
            "telephone_number": "949-500-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CORPORATE PLAZA DR",
            "address_2": "SUITE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607905",
            "telephone_number": "949-500-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPODIAN",
        "first_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "62505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Coronado
• Sulema Coronado
• Lexy Coronel
• Liliana Coronel
• Corpodian Dental Corporation
• Elizabeth Correa Nery
• James William Correa, DDS
• Julie Irene Cortell, REGISTERED NURSE
• Elizabeth Cortes
• Marlene Cortes, LMFT

• Orthodontics and Dentofacial Orthopedics Dentistry in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.