NPIMap

Organization Active NPI

John D. Corbitt, Jr. MD, Inc

  • Specialist
  • Lake Worth, FL
National Provider Identifier
1376650929
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0011628 Issued in FL
Legal business name
JOHN D. CORBITT, JR. MD, INC
Practice address
140 John F Kennedy Dr
Suite 142
Lake Worth, FL 33462-6608
Phone
(561) 439-1501
Fax
(561) 439-9902
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. John Dewey Corbitt Jr., MD
Title
President
Phone
(561) 439-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME0011628 FL Primary

Addresses

Primary practice location

140 John F Kennedy Dr
Suite 142
Lake Worth, FL 33462-6608

Mailing address

140 John F Kennedy Dr
Suite 142
Lake Worth, FL 33462-6608
Phone (561) 439-1501

National Provider Directory

National Provider Directory

Locations

140 John F Kennedy Dr
Ste 142
Lake Worth, FL 33462
Phone (561) 439-1501

Practitioners & affiliated clinicians

Practitioners 4

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376650929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 JOHN F KENNEDY DR",
            "address_2": "SUITE 142",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334626608",
            "telephone_number": "561-439-1501",
            "fax_number": "561-439-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JOHN F KENNEDY DR",
            "address_2": "SUITE 142",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334626608",
            "telephone_number": "561-439-1501",
            "fax_number": "561-439-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. CORBITT, JR. MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CORBITT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DEWEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-439-1501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0011628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.