| NPI | 1104816404 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-10-27 |
| Last Updated | 2023-11-27 |
| Mailing Address | 8230 Walnut Hill Ln, Suite 508 Dallas, TX 75231-4482 United States Phone: (214) 369-0555 | Fax: (214) 363-6759 📍 View Map |
| Primary Practice Address | 8230 Walnut Hill Ln, Suite 508 Dallas, TX 75231-4482 United States Phone: (214) 369-0555 | Fax: (214) 363-6759 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 166446803 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207W00000X – Ophthalmology | TX | M5109 |
| Yes | 207WX0200X – Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | TX | M5109 |
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About NPI 1104816404
Jorge Corona M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104816404. The primary specialty listed is Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery. The provider is located in Dallas, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104816404?
NPI 1104816404 belongs to Jorge Corona M.D., a Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery in Dallas, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104816404 active?
The current status of NPI 1104816404 in the NPPES registry is Active. The record was last updated on 2023-11-27.
What specialty is NPI 1104816404?
NPI 1104816404 is classified under the taxonomy Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104816404?
You can verify NPI 1104816404 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104816404?
The primary practice address on file for NPI 1104816404 is 8230 Walnut Hill Ln, Dallas, TX 75231-4482. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104816404 issued?
NPI 1104816404 was first issued (enumerated) on 2005-10-27. The NPPES record was last updated on 2023-11-27.
Practice Location Map
Jorge Corona is located at 8230 Walnut Hill Ln, Dallas, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jorge Corona. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104816404. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Ophthalmology | M5109 | TX |
| Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | M5109 | TX |