DR. COREY RAWLINS ANDERSON (NPI# 1932183282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932183282 |
| Entity Type | Individual |
| Full Name | DR. COREY RAWLINS ANDERSON |
| Credential | D.S.S., M.S. |
| Practice Address |
221 3rd St W Bldg 1040 Jbsa Randolph TX 78150-4800 |
| Mailing Address |
381 Trs Bldg 903 Ft Sam Houston TX 78234 |
| Practice Telephone | 2106528544 |
| Mailing Telephone | 2108081121 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2018-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
4736830-9922 | UT | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1615 Truemper St Bldg 6418, Jbsa Lackland, TX 782365511 | 7579132847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558731281 | Corey Anderson | Pharmacist | 3625 Williams Blvd., Kenner, LA 70065 | 2015-10-07 |
| 1518254382 | Corey Anderson | Dentist | 1023 Pittsburgh Rd Ste 205, Uniontown, PA 15401-8408 | 2011-06-30 |
| 1083213169 | Corey Marie Anderson | Counselor | 10427 Detroit Ave, Cleveland, OH 44102-1645 | 2020-10-20 |
| 1649787755 | Corey Benjamin Anderson | Physician Assistant | 547 N Justice St, Hendersonvlle, NC 28739-4251 | 2018-01-10 |
| 1891129839 | Corey Demar Anderson | Nurse Anesthetist, Certified Registered | 9127 W Russell Rd Ste 110, Las Vegas, NV 89148 | 2013-08-27 |
| 1114278819 | Corey Darryl Anderson | Clinical Neuropsychologist | 2801 N Gantenbein Ave, Suite 2225, Portland, OR 97227-1623 | 2012-09-21 |
| 1144598822 | Corey Dean Anderson | Counselor | 5120 Se 118th Ave, Portland, OR 97266-3250 | 2011-12-08 |
| 1194093161 | Corey Lee Anderson | Physician Assistant | 7220 S Highway 16, Rapid City, SD 57702-8708 | 2011-12-06 |
| 1114245297 | Corey Robert Anderson | Anesthesiology | 523 N 3rd St, Brainerd, MN 56401-3054 | 2010-05-13 |
| 1588862114 | Corey D Anderson | Anesthesiology | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2007-07-05 |
| Street Address |
221 3RD ST W BLDG 1040 |
| City | JBSA RANDOLPH |
| State | TX |
| Zip Code | 78150-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427042183 | Karen Ann Ryan-philpott | Pediatrics | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2005-09-08 |
| 1235695412 | Alexandra Schulte | General Practice | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2019-02-13 |
| 1225525926 | Kristyn Brooke Loggins | Pharmacist | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2018-04-18 |
| 1053831149 | Angelique Stacey Ann Forrester | Family Medicine | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2017-06-21 |
| 1770014383 | Daniel Stephen Catts | Pediatrics | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2017-03-24 |
| 1386191252 | Kelly Cooper | Dentist | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2016-09-07 |
| 1972974061 | Jeffery Rueben | Physician Assistant | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2015-10-14 |
| 1053787259 | Leanne Putnam | Nurse Practitioner | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2015-08-11 |
| 1780066035 | Karla Renise Ivy | Family Medicine | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2015-06-23 |
| 1427437151 | Jacqueline Gutierrez | Student in an Organized Health Care Education/Training Program | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2015-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045833 | Erica Renae Guevara | Physician Assistant | 559 Medial Sq, 221 Third Street West Bldg. 1040, Jbsa-randolph Afb, TX 78150 | 2019-04-05 |
| 1457803868 | Emily Newman | Dietitian, Registered | 221 Third Street West, Bldg. 999 Ste 2, Joint Base San Antonio -randolph, TX 78150 | 2016-11-02 |
| 1922411677 | Amber Drewer | Military Health Care Provider | 3rd Street West Building 1040, Randolph Afb, TX 78150 | 2014-06-10 |
| 1144652975 | Josephine Kimberly Olsen | Family Medicine | 359 Mdos/mdg, Randolph Afb, TX 78150 | 2013-08-02 |
| 1609149681 | Lucky Lusterio | Preventive Medicine | 221 3rd St. W, Randolph Afb, TX 78150 | 2012-02-21 |
| 1417120569 | Joni Hodgson | General Practice | 221 3rd Street West, Jbsa Randolph, TX 78150 | 2008-04-09 |
| 1710095724 | Katherine Justen Adamson | Physician Assistant | 12th Medical Group, 221 3rd Street West, Randolph Air Force Base, TX 78150 | 2006-08-29 |
| 1811950090 | Lidia Stana Ilcus | Internal Medicine | 359 Mdg, 221 Third Street West, Randolph Afb, TX 78150 | 2006-04-10 |
| 1013970672 | David Hamilton | Social Worker | 12mdos/sgohf, Randolph Afb, TX 78150 | 2006-04-06 |
| 1962465526 | Robert Allan Briggs | Physical Therapist | Randolph Afb Clinic, 221 3rd St W, Randolph Afb, TX 78150 | 2006-04-06 |
| Find all providers in zip 78150 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961492 | Sonrisas Dental Center South, LLC | Dentist | 1217 W Slaughter Ln Ste 100, Austin, TX 78748-6912 | 2020-08-05 |
| 1487263653 | Julia Ann Shelbourn | Dentist | 8210 Floyd Curl Dr # 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1386253664 | Kara Dunegan | Dentist | 8210 Floyd Curl Dr Msc 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1093323362 | Ace Dental10, Pllc | Dentist | 901 N Ih-35, Suite 111, Bellmead, TX 76705 | 2020-07-22 |
| 1326669193 | Bellaire Periocosmetic Dental Pllc | Dentist | 9889 Bellaire Blvd Ste 322, Houston, TX 77036-3468 | 2020-05-02 |
| 1447884341 | Kagayaki Corp. | Dentist | 3535 Victory Group Way Ste 101, Frisco, TX 75034-6719 | 2020-02-28 |
| 1225660046 | Ezzy Oms Pllc | Dentist | 11620 Louetta Rd Ste B, Houston, TX 77070-1282 | 2020-02-10 |
| 1912538984 | Michelle Marie Torres Santos | Dentist | 6123 79th St # 100, Lubbock, TX 79424-8708 | 2020-01-29 |
| 1225668429 | Rachel Dai, Pllc | Dentist | 20423 Kuykendahl Rd Ste 600, Spring, TX 77379-3493 | 2020-01-16 |
| 1003456716 | Samer A Faraj Dds Ms Pllc | Dentist | 23762 Us 59 Ste A, Porter, TX 77365 | 2020-01-10 |
| Find all providers with the same taxonomy | ||||
| City | JBSA RANDOLPH |
| Zip Code | 78150 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.