Active NPI
Patricia Miranda Corby, DDS
- Dentist
- New York, NY
National Provider Identifier
1578851440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 000024
- Practice address
- 421 1St Ave
NYU College of Dentistry-BCCR
New York, NY 10010-4001 - Phone
- (212) 998-9713
- Fax
- (212) 995-4843
- NPI assigned
- Jul 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 000024 | NY | Primary |
Addresses
Primary practice location
421 1St Ave
NYU College of Dentistry-BCCR
New York, NY 10010-4001
Mailing address
421 First Avenue
NYU College of Dentistry-BCCR
New York, NY 10010
Phone (212) 998-9713
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000024 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1578851440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 FIRST AVENUE",
"address_2": "NYU COLLEGE OF DENTISTRY-BCCR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-998-9713",
"fax_number": "212-995-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 1ST AVE",
"address_2": "NYU COLLEGE OF DENTISTRY-BCCR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104001",
"telephone_number": "212-998-9713",
"fax_number": "212-995-4843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBY",
"first_name": "PATRICIA",
"middle_name": "MIRANDA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "000024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.