Camille Barnell Tabor-Cobb, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9010 Issued in TN

Practice address

1068 New York St
Memphis, TN 38104-5824

Phone

(901) 246-8781

NPI assigned

Oct 7, 2009

Last updated

Sep 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: camille.cobb.p1@direct.tristatechc.nextgenshare.com

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.

• Blessed Smiles Mobile Dental

  • Dental Clinic/Center
  • Memphis, TN
  • NPI 1881473072
  NPD Authorized official
• Tri State Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1285002634
  Medicare reassignment

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1609101740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 NEW YORK ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045824",
            "telephone_number": "901-246-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 NEW YORK ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045824",
            "telephone_number": "901-246-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOR-COBB",
        "first_name": "CAMILLE",
        "middle_name": "BARNELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T.E.E.S. Loving Care Nonprofit Organization
• T's & G Transportation, LLC
• Nabil Tabish, MD, MS
• Lakesha A Tables, MD
• Tabor Orthopedics, P.C.
• Jennifer Sloan Tabor, LCSW
• Owen B. Tabor Jr., M.D.
• Owen B. Tabor Sr., M.D.
• Charlie Andrew Tacito
• Deanna Rae Tacker, MS, RD, LDN

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.