DR. MAURO CORREA JR. D.M.D.
NPI 1063760213
Dentist - General Practice in Ft Jackson, SC

Active since August 20, 2012PECOS Enrolled
4323 HILL STREET, USA DENTAL HEALTH ACTIVITY, FT JACKSON, SC 29207(803) 751-6209 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mauro Correa Jr. D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAURO CORREA JR. D.M.D. (NPI 1063760213) is an individual general practice provider in Ft Jackson, South Carolina, licensed in South Carolina (9466) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063760213
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MAURO CORREA JR.Credential: D.M.D.
Location Address4323 HILL STREET, USA DENTAL HEALTH ACTIVITYFt Jackson, SC 29207-6022
Mailing Address9900 Lincoln St Fl 2, Usa Dental ActivityTacoma, WA 98431-0001 · (253) 968-4029
Sole ProprietorYes
Enumeration DateAugust 20, 2012
Last NPPES UpdateSeptember 23, 2019
NPI 1063760213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in SC · 9466
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 22DI02506700 (NJ)
Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License FC3508124 (NJ)
4323 HILL STREET, Ft Jackson, SC 29207

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mauro Correa Jr. D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4323 HILL STREET, USA DENTAL ACTIVITY
FORT JACKSON, SC 29207
Dentist (Prosthodontics)
4323 HILL STREET, USA DENTAC
FT JACKSON, SC 29207
Dentist (General Practice)
4323 HILL STREET, US ARMY DENTAL ACTIVITY
FORT JACKSON, SC 29207
Dentist (General Practice)
4323 HILL STREET, USA DENTAL ACTIVITY
FORT JACKSON, SC 29207
Dentist
4323 HILL STREET
FORT JACKSON, SC 29207
Dental Hygienist
4323 HILL STREET, USA DENTAC
FORT JACKSON, SC 29207
Dentist (General Practice)
4323 HILL STREET, US ARMY DENTAL ACTIVITY
FORT JACKSON, SC 29207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mauro Correa's NPI number?

The NPI number for Mauro Correa is 1063760213. It was assigned to this individual provider in the NPPES registry on August 20, 2012.

Where is Mauro Correa located?

Mauro Correa practices at 4323 Hill Street Usa Dental Health Activity, Ft Jackson, SC 29207. The listed phone number is (803) 751-6209.

What is Mauro Correa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mauro Correa enrolled in Medicare?

Yes. Mauro Correa is registered in the Medicare PECOS enrollment system.

What insurance does Mauro Correa accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 12 other insurers list Mauro Correa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mauro Correa was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.