Individual provider Active NPI

Joseph Lloyd Cortese, DDS

  • General Practice Dentistry
  • Albany, CA
National Provider Identifier
1982622197
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30190 Issued in CA
Practice address
510 Kains Ave
Albany, CA 94706-1217
Phone
(510) 524-6045
Fax
(510) 524-4920
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30190 CA Primary

Addresses

Primary practice location

510 Kains Ave
Albany, CA 94706-1217

Mailing address

510 Kains Ave
Albany, CA 94706-1217
Phone (510) 524-6045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160503000792 CA Order and Referring Only - DentistPractitioner - Dentist 0244539898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982622197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 KAINS AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061217",
            "telephone_number": "510-524-6045",
            "fax_number": "510-524-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 KAINS AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061217",
            "telephone_number": "510-524-6045",
            "fax_number": "510-524-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTESE",
        "first_name": "JOSEPH",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, CA

Sources for this page

Verify at the official NPI Registry.