Jeffery Lamar Corbet, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14479 Issued in TX

Practice address

2205 Harwood Rd
Bedford, TX 76021-3607

Phone

(817) 354-0606

Fax

(817) 354-1015

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jcdsm PLLC

  • Customized Equipment (DME)
  • Bedford, TX
  • NPI 1659910933
  NPD Authorized official
• TX Southern Dental PPO PC

  • Dentist
  • Bedford, TX
  • NPI 1902676380
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730285156",
    "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": {
        "last_name": "CORBET",
        "first_name": "JEFFERY",
        "middle_name": "LAMAR",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Robert Cook, D.O.
• Cooper Functional Services
• Kenneth Charles Cooper, DC, PT
• Naomi Dakota Cooper, D.D.S.
• Shaun Daniel Cooper, MD
• Core Rehabilitation Group
• Cornerstone Caregiving West LLC
• Coryell County Memorial Hospital Authority
• Evelyn Imes Cosmai, LMHC
• Brant Edward Costilla, PTA

• General Practice Dentistry in Bedford, TX
• Providers in Bedford, TX by specialty
• General Practice Dentistry in Texas

• 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.