NPIMap

Individual provider Active NPI

Jeffrey D Corbett, D.D.S.

  • General Practice Dentistry
  • Lynnfield, MA
National Provider Identifier
1659467975
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16964 Issued in MA
Practice address
1 Post Office SQ
Lynnfield Medical Building
Lynnfield, MA 01940-2218
Phone
(781) 592-9779
Fax
(781) 592-5780
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16964 MA Primary

Addresses

Primary practice location

1 Post Office SQ
Lynnfield Medical Building
Lynnfield, MA 01940-2218

Mailing address

1 Post Office SQ
Lynnfield Medical Building
Lynnfield, MA 01940-2218
Phone (781) 592-9779

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

LicenseStateTypeSpecialty
16964MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Smiles Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659467975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 POST OFFICE SQ",
            "address_2": "LYNNFIELD MEDICAL BUILDING",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402218",
            "telephone_number": "781-592-9779",
            "fax_number": "781-592-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 POST OFFICE SQ",
            "address_2": "LYNNFIELD MEDICAL BUILDING",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402218",
            "telephone_number": "781-592-9779",
            "fax_number": "781-592-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.