Corbin Michael Hawks, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9928 Issued in KY

Practice address

236 N 6TH St
Mayfield, KY 42066-1604

Phone

(270) 247-7173

Fax

(270) 247-7174

NPI assigned

Jun 22, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 13, 2017 through Nov 13, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Donald B Dowdy PSC

  • Dentist
  • Mayfield, KY
  • NPI 1780716589
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1396265187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 INDUSTRIAL PARK RD",
            "city": "SOUTH FULTON",
            "state": "TN",
            "postal_code": "382572700",
            "telephone_number": "731-479-3445",
            "fax_number": "731-479-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 N 6TH ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661604",
            "telephone_number": "270-247-7173",
            "fax_number": "270-247-7174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "South Fulton",
            "state": "TN",
            "postal_code": "382572700",
            "country_code": "US",
            "telephone_number": "731-479-3445",
            "fax_number": "731-479-3447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKS",
        "first_name": "CORBIN",
        "middle_name": "MICHAEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10546",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Jo Hagan
• Robert F Hailey, DPM
• James Roland Hall Jr.
• Christy Harris, LPCC
• Linda G Harris, CRNA
• Peggy A Hays, APRN
• Donna Hedrick, LCSW
• John Raymond Heiss, M.D.
• Xander Van Hendrickson, PHARMD
• Henry Viles MD PLLC

• General Practice Dentistry in Mayfield, KY
• Providers in Mayfield, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.