Corey Deeble, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54135 Issued in CA

Practice address

3551 Florista St
#1C
Los Alamitos, CA 90720-2474

Phone

(562) 596-1661

NPI assigned

Aug 24, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1194832428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 JOSIE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151515",
            "telephone_number": "562-429-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 FLORISTA ST",
            "address_2": "#1C",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202474",
            "telephone_number": "562-596-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEBLE",
        "first_name": "COREY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward Day Sr.
• Ana Maria Cajigas De Jesus
• Jose De Souza Jr., MD
• Deborh Mather (Crossroads Psychotherapy Group)
• Roya Dedeaux, M.S., MFT INTERN
• Ilaisa Mae Dela Rosa
• Geoffrey Paul Delaurier, M.D.
• Lana Delshadi, ED.D.
• Denise Joseph-Brown, MD, Inc
• Jackson L Denton

• General Practice Dentistry in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.