NPI Code Detail JSON Logo

1013075969 NPI number — CORY ALLEN BORER D.D.S.

NPI Number: 1013075969
Health Care Provider/Practitioner: CORY ALLEN BORER D.D.S.

Information about “1013075969” NPI (CORY ALLEN BORER D.D.S.) exists in 1013075969 in HTML format HTML  |  1013075969 in plain Text format TXT  |  1013075969 in PDF (Portable Document Format) PDF  |  1013075969 in an XML format XML  formats.

NPI Number : 1013075969 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013075969",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BORER",
    "FirstName": "CORY",
    "MiddleName": "ALLEN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "454 MCQUEEN SMITH RD S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PRATTVILLE",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "36066-5631",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "334-380-9170",
    "MailingAddressFaxNumber": "334-380-9172",
    "FirstLinePracticeLocationAddress": "454 MCQUEEN SMITH RD S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PRATTVILLE",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "36066-5631",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "334-380-9170",
    "PracticeLocationAddressFaxNumber": "334-380-9172",
    "EnumerationDate": "12/04/2006",
    "LastUpdateDate": "01/16/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "8020",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "D.6876-C",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.