Individual provider Active NPI

Todd Neal Corbitt, DDS

  • General Practice Dentistry
  • Holland, NY
National Provider Identifier
1306992730
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
058889 Issued in NY
Practice address
9 N Main St
Holland, NY 14080-9509
Phone
(716) 537-2211
NPI assigned
Jan 26, 2007
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3805 AR
General Practice Dentistry 1223G0001X 6254 OK
General Practice Dentistry 1223G0001X 6142 LA
General Practice Dentistry 1223G0001X 0026365 TX
General Practice Dentistry 1223G0001X 30-020304 OH
General Practice Dentistry 1223G0001X 058889 NY Primary

Addresses

Primary practice location

9 N Main St
Holland, NY 14080-9509

Mailing address

9 N Main St
Holland, NY 14080-9509
Phone (716) 537-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6142LAMDMental Health Counselor
3805ARMDGeneral Practice Dentistry
30-020304OHMDGeneral Practice Dentistry
0026365TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Dental Group, PC General Practice PastSince May 29, 2022 Accepting new patients
Affordable Dentures - Iris J. Watkins, DDS, Inc. Past Accepting new patients
Affordable Dentures - Columbus, Binal Patel, DDS, Inc. PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1306992730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N MAIN ST",
            "city": "HOLLAND",
            "state": "NY",
            "postal_code": "140809509",
            "telephone_number": "716-537-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N MAIN ST",
            "city": "HOLLAND",
            "state": "NY",
            "postal_code": "140809509",
            "telephone_number": "716-537-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBITT",
        "first_name": "TODD",
        "middle_name": "NEAL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3805",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6254",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6142",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0026365",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-020304",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.