Corinne Ellen Tabert, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

63964 Issued in CA

Practice address

29795 Three Notch Rd
Charlotte Hall, MD 20622-4106

Phone

(301) 290-0001

NPI assigned

Oct 25, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366621435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21676 POTOMAC VIEW DR",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502134",
            "telephone_number": "402-202-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29795 THREE NOTCH RD",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206224106",
            "telephone_number": "301-290-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Greenfield Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932303500",
            "country_code": "US",
            "telephone_number": "402-202-4148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 Greenfield Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932303500",
            "country_code": "US",
            "telephone_number": "402-202-4148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABERT",
        "first_name": "CORINNE",
        "middle_name": "ELLEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411905",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura R Starks, PT
• Summer Claire Staso, M.S, CF-SLP
• State of Maryland Central Payroll Bureau (Charlotte Hall Veterans Home - Maryland Department of Veterans & Military Families)
• Shara Amber Stone, OTR/L
• Kori Summers
• Sara Tawney
• Jeanne Montrose Taylor, MA/CCC-SP
• Deborah Ryan Teich, OTR
• Thomas Hao, LLC (Hao Orthodontics)
• Reena Thomas, MD

• Dentist in Charlotte Hall, MD
• Providers in Charlotte Hall, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.