James O Corwin, DDS
Individual provider Active NPI General Practice Dentistry · Bristow, OK
NPI 1982647574 · NPPES record last updated Apr 13, 2015
Key facts
- NPI
- 1982647574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4993 (OK)
- Practice address
- 221 E 7TH Ave
Bristow, OK 74010-2503 - Phone
- (918) 367-3290
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231208002004 | OK | Order and Referring Only - Dentist |
6800117847 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4993 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corwin Family Dentistry | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4993 | OK | Yes |
Addresses
Primary practice location
221 E 7TH Ave
Bristow, OK 74010-2503
Mailing address
221 E 7TH Ave
Bristow, OK 74010-2503
Phone (918) 367-3290
Other providers in Bristow, OK
- Caroline M Cates
- Cheyenne Rose Cheatwood
- Donald L. Cooper
- Corwin Family Dentistry
- Deborah A. Corwin
- Sylvia Olivia Cote
- Fred James Crapse Jr.
- Creoks Mental Health Services, Inc
- Leann Davis
- Vicki Lynn Davis
All providers in Bristow, OK · General Practice Dentistry in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.