Corbyn L Vanbrunt DDS PC, DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

5445 Issued in OK

Practice address

6565 S. Yale Ave.
Suite 1103
Tulsa, OK 74136

Phone

(918) 481-4910

Fax

(918) 481-4917

NPI assigned

Jul 24, 2006

Last updated

Jun 16, 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1306868492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 S. YALE AVE.",
            "address_2": "SUITE 1103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-481-4910",
            "fax_number": "918-481-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S. YALE AVE.",
            "address_2": "SUITE 1103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-481-4910",
            "fax_number": "918-481-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBRUNT DDS PC",
        "first_name": "CORBYN",
        "middle_name": "L",
        "credential": "DDS PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5445",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "FD1@SMILESOFTULSA.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "6565 S. Yale Ave.",
            "address_2": "Suite 1103",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nerine Van Zyl
• Ashley Marie Vanasse, MD
• Jamie Jon Vanbeber, LCSW
• Brandi Vanblarcum
• Melvin J Vanboven, DO
• Maya Monique Vance
• Tate Camren Vance
• Carissa R. Vandagriff, CRNA
• Donna Kay Vandall, LCSW
• Eric Lee Vande Brake, MS LMFT

• Dentist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.