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CORBIN JON DEWICK
NPI 1609678374
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Springfield, MO

Active since March 25, 2025
4396 W DELMAR ST, SPRINGFIELD, MO 65802(417) 501-8213(417) 501-8213 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Corbin Jon Dewick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORBIN JON DEWICK (NPI 1609678374) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Springfield, Missouri and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1609678374
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameCORBIN JON DEWICK
Location Address4396 W DELMAR STSpringfield, MO 65802-7809
Mailing Address1606 N Pine StNixa, MO 65714-8704 · (417) 247-1809
Phone(417) 501-8213
Fax(417) 501-8213
Sole ProprietorYes
Enumeration DateMarch 25, 2025
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1609678374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
4396 W DELMAR ST, Springfield, MO 65802
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corbin Dewick's NPI number?

The NPI number for Corbin Dewick is 1609678374. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Corbin Dewick located?

Corbin Dewick practices at 4396 W Delmar St, Springfield, MO 65802. The listed phone number is (417) 501-8213.

What is Corbin Dewick's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Corbin Dewick was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.