Organization Active NPI

Roy B Corbin DPM

  • Primary Podiatric Medicine Podiatrist
  • Bangor, ME
National Provider Identifier
1174712319
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
POD146 Issued in ME
Legal business name
ROY B CORBIN DPM
Practice address
205 French St
Bangor, ME 04401-5064
Phone
(207) 990-0060
Fax
(207) 645-5196
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Dr. Roy B Corbin, DPM
Title
Owner
Phone
(207) 990-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X POD146 ME Primary

Addresses

Primary practice location

205 French St
Bangor, ME 04401-5064

Mailing address

205 French St
Bangor, ME 04401-5064
Phone (207) 990-0060

National Provider Directory

National Provider Directory

Locations

205 French St
#B
Bangor, ME 04401
Phone (207) 945-5554

205 French St
Bangor, ME 04401
Phone (207) 945-5554

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1174712319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 FRENCH ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015064",
            "telephone_number": "207-990-0060",
            "fax_number": "207-645-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 FRENCH ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015064",
            "telephone_number": "207-990-0060",
            "fax_number": "207-645-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY B CORBIN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-990-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "ME",
            "license": "POD146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.