Active NPI
Corbin E. Bennett-Rogers, REGISTERED DIETITIAN
- Registered Dietitian
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN007148
- Practice address
- 3 Robinson PLZ # 205
Pittsburgh, PA 15205-1024 - Phone
- (412) 593-2048
- Fax
- (844) 311-7396
- NPI assigned
- Oct 27, 2021
- Last updated
- Mar 8, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN007148 | PA | Primary |
Addresses
Primary practice location
3 Robinson PLZ # 205
Pittsburgh, PA 15205-1024
Mailing address
5750 Baum Blvd Ste 306
Pittsburgh, PA 15206-3793
Phone (412) 593-2049
Other practice location 1
5750 Baum Blvd Ste 306
Pittsburgh, PA 15206-3793
Phone (412) 593-2049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5750 Baum Blvd
Suite 306
Pittsburgh, PA 15206-3793
Phone 41259320481
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Case Specific Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
5750 Baum Blvd
Ste 306
Pittsburgh, PA 15206
Phone (412) 593-2048
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Pittsburgh, PA
- NPI 1750758561
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1730843574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 BAUM BLVD STE 306",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152063793",
"telephone_number": "412-593-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ROBINSON PLZ # 205",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152051024",
"telephone_number": "412-593-2048",
"fax_number": "844-311-7396"
}
],
"practiceLocations": [
{
"address_1": "5750 Baum Blvd Ste 306",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152063793",
"country_code": "US",
"telephone_number": "412-593-2049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENNETT-ROGERS",
"first_name": "CORBIN",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-27",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN007148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.