Organization Active NPI

Corbridge Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Frisco, TX
National Provider Identifier
1245511013
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CORBRIDGE ORTHODONTICS PLLC
Practice address
5110 Eldorado Pkwy
Suite 500
Frisco, TX 75034-8697
Phone
(916) 990-4823
NPI assigned
Sep 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Dr. Jared K Corbridge, D.D.S., M.S.NPI 1992935373
Title
Principal
Phone
(916) 990-4823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

5110 Eldorado Pkwy
Suite 500
Frisco, TX 75034-8697

Mailing address

5110 Eldorado Pkwy
Suite 500
Frisco, TX 75034-8697
Phone (916) 990-4823

National Provider Directory

National Provider Directory

Locations

5110 Eldorado Pkwy
Ste 500
Frisco, TX 75033
Phone (214) 705-6188

Practitioners & affiliated clinicians

Practitioners 1

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": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1245511013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 ELDORADO PKWY",
            "address_2": "SUITE 500",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348697",
            "telephone_number": "916-990-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 ELDORADO PKWY",
            "address_2": "SUITE 500",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348697",
            "telephone_number": "916-990-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORBRIDGE ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "CORBRIDGE",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "916-990-4823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.