Active NPI
Kathleen O'Hara Corbin, DDS
- Pediatric Dentistry
- Zachary, LA
National Provider Identifier
1154855526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 6810
- Practice address
- 1515 Church St
Zachary, LA 70791-2748 - Phone
- (225) 654-7760
- NPI assigned
- Apr 12, 2017
- Last updated
- Sep 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 6810 | LA | Primary |
Addresses
Primary practice location
1515 Church St
Zachary, LA 70791-2748
Mailing address
1515 Church St
Zachary, LA 70791-2748
Phone (225) 654-7760
Other practice location 1
245 Veterans Blvd
Denham Springs, LA 70726-4720
Phone (225) 664-2646
Other practice location 2
1935 Medical District Dr
Dallas, TX 75235-7701
Phone (214) 456-2735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6810 | LA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parish Pediatric Dental Krewe | Pediatric Dentistry | Current | Accepting new patients |
| Joseph a. Yale, DDS, LLC | Pediatric Dentistry | Past | Accepting new patients |
Locations
1515 Church St
Zachary, LA 70791
Phone (225) 485-4122
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Zachary, LA
- NPI 1881432623
-
- Pediatric Dentistry
- Denham Springs, LA
- NPI 1710222666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1154855526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 CHURCH ST",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707912748",
"telephone_number": "225-654-7760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 CHURCH ST",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707912748",
"telephone_number": "225-654-7760"
}
],
"practiceLocations": [
{
"address_1": "245 Veterans Blvd",
"address_purpose": "LOCATION",
"city": "Denham Springs",
"state": "LA",
"postal_code": "707264720",
"country_code": "US",
"telephone_number": "225-664-2646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1935 Medical District Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357701",
"country_code": "US",
"telephone_number": "214-456-2735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORBIN",
"first_name": "KATHLEEN",
"middle_name": "O'HARA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "LA",
"license": "6810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zachary, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.