Tobias Wilson Corcoran, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

054000 Issued in NY

Practice address

607 Oakwood Ave
Aurora Smiles Pediatric Dentistry
East Aurora, NY 14052-2354

Phone

(716) 710-2888

Fax

(716) 805-7001

NPI assigned

Aug 27, 2009

Last updated

Aug 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tobias W. Corcoran DDS PLLC

  dba Aurora Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • East Aurora, NY
  • NPI 1033777461
  NPD

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1912130733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 OAKWOOD AVE",
            "address_2": "AURORA SMILES PEDIATRIC DENTISTRY",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "14052",
            "telephone_number": "716-710-2888",
            "fax_number": "716-805-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 OAKWOOD AVE",
            "address_2": "AURORA SMILES PEDIATRIC DENTISTRY",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522354",
            "telephone_number": "716-710-2888",
            "fax_number": "716-805-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "TOBIAS",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "054000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Catlin
• Kimberly Christensen
• Kayla Cirelli
• Rachel Clark, P.T.
• Olivia Colgrove
• Shawn Cotton, M.D.
• Council Opticians of East Aurora
• Christine A Cox, ANP
• Darci Beth Cramer, PH.D.
• Creative Wellness Group, LLC

• Pediatric Dentistry in East Aurora, NY
• Providers in East Aurora, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.