Active NPI
Steven Coryell, DDS
- Dentist
- Fayetteville, NC
National Provider Identifier
1932437324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7526
- Practice address
- 3014 Stonehenge CT
Fayetteville, NC 28306-2522 - Phone
- (910) 273-5613
- NPI assigned
- Nov 24, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7526 | NC | Primary |
Addresses
Primary practice location
3014 Stonehenge CT
Fayetteville, NC 28306-2522
Mailing address
3014 Stonehenge CT
Fayetteville, NC 28306-2522
Phone (910) 273-5613
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 |
|---|---|---|---|
| 7526 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259020800000",
"number": "1932437324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3014 STONEHENGE CT",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283062522",
"telephone_number": "910-273-5613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3014 STONEHENGE CT",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283062522",
"telephone_number": "910-273-5613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORYELL",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-24",
"last_updated": "2009-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "7526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.