Alvin Brent Chumbley, DMD MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4318 Issued in KY

Practice address

727 W Cumberland Gap Pkwy
Suite D
Corbin, KY 40701-4822

Phone

(606) 523-2000

Fax

(606) 523-2823

NPI assigned

Apr 27, 2006

Last updated

Aug 30, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• A. Brent Chumbley, PSC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Corbin, KY
  • NPI 1649543034
  NPD (past) Authorized official
• S. Adam Tackett, DMD, Ms, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Corbin, KY
  • NPI 1548725765
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1548227259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 W CUMBERLAND GAP PKWY",
            "address_2": "SUITE D",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407014822",
            "telephone_number": "606-523-2000",
            "fax_number": "606-523-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 W CUMBERLAND GAP PKWY",
            "address_2": "SUITE D",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407014822",
            "telephone_number": "606-523-2000",
            "fax_number": "606-523-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUMBLEY",
        "first_name": "ALVIN",
        "middle_name": "BRENT",
        "credential": "DMD MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "4318",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "4318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178567",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60043189",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Chitwood, O.D.
• Della Paige Chitwood I, MED
• Bridgett Loren Chowning
• Christian Care Communities, Inc. (Christian Health Center Corbin)
• Christian Care Communities, Inc. (Christian Health Center Pharmacy Corbin)
• Nicholas Oresta Cima, APSS., TRPSS
• Thea Andrea Cima, B.S, TCADC
• Kimber Lauren Cinnamon, LPCC
• Elizabeth Ann Clark, MS
• Frank C Clark, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Corbin, KY
• Providers in Corbin, KY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.