Andrew Irvine Corbett, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DDS63323 Issued in CA

Practice address

135 Hospital Dr
Ukiah, CA 95482-4591

Phone

(707) 462-6086

NPI assigned

Oct 14, 2020

Last updated

Oct 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrew I. Corbett, D.D.S Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ukiah, CA
  • NPI 1053713602
  NPD (past) Authorized official

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1013515774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824591",
            "telephone_number": "707-462-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824591",
            "telephone_number": "707-462-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "ANDREW",
        "middle_name": "IRVINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS63323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ortho135@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "135 Hospital Dr",
            "city": "Ukiah",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954824591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cindi Ann Condos, FNP
• Ricardo M Contreras
• Morgan Cook
• Delaine Christine Cooke, CO508241617
• Kelsey Coolahan, MD
• Vincent J Corcoran, DC
• Howard Andrew Coren, M.D.
• Mariena Renee Cornett-Steward
• Leandra Christine Corpuz, MEDICAL ASSISTANT
• Perla Corral Lopez

• Orthodontics and Dentofacial Orthopedics Dentistry in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.