NPIMap

Organization Active NPI

Jcdsm PLLC

  • Customized Equipment (DME)
  • Bedford, TX
National Provider Identifier
1659910933
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
JCDSM PLLC
Practice address
2205 Harwood Rd
Bedford, TX 76021-3607
Phone
(817) 354-0606
Fax
(817) 354-1015
NPI assigned
Jan 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Dr. Jeffery Lamar Corbet, DDSNPI 1730285156
Title
Owner
Phone
(817) 354-0606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

2205 Harwood Rd
Bedford, TX 76021-3607

Mailing address

2205 Harwood Rd
Bedford, TX 76021-3607
Phone (817) 354-0606

National Provider Directory

National Provider Directory

Locations

2205 Harwood Rd
Bedford, TX 76021
Phone (817) 354-0606

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1659910933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 HARWOOD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760213607",
            "telephone_number": "817-354-0606",
            "fax_number": "817-354-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 HARWOOD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760213607",
            "telephone_number": "817-354-0606",
            "fax_number": "817-354-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCDSM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "CORBET",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-354-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.