Corbin James Brindle, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

016.0133964EMGY Issued in VT

Practice address

494 Highland Ave
Newport, VT 05855-4919

Phone

(802) 334-1400

NPI assigned

Aug 18, 2020

Last updated

Aug 23, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Vermont Family Dental PLC

  dba Roligo - Newport Family Dental

  • Dental Clinic/Center
  • Newport, VT
  • NPI 1225749930
  NPD
• Newport Family Dental, PLC

  dba Highland Dental Center

  • Dental Clinic/Center
  • Newport, VT
  • NPI 1437506888
  NPD (past)

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1174135446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0610 SW NEVADA ST APT G",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193069",
            "telephone_number": "503-724-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 HIGHLAND AVE",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058554919",
            "telephone_number": "802-334-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINDLE",
        "first_name": "CORBIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016.0133964EMGY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Blanchard
• Blue Spruce Health
• Blue Spruce Health PLLC
• Paul John Bosco, DMD
• Marc Bouchard, MD
• Madison Lee Brindle, DMD
• Amber Day Brooks
• Christie Brown, PTA
• Jenna Brown
• Vivian M Calobrisi, PA-C

• Dentist in Newport, VT
• Providers in Newport, VT by specialty
• Dentist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.