DR. CORBET CLARKE LOCKE III DDS
NPI 1639263353
Dentist - General Practice in Waco, TX

Active since October 03, 2006Opted out of Medicare · through Mar 30, 2028
307 CROSSROADS WEST, WACO, TX 76712(254) 776-4888(254) 776-4668 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Corbet Clarke Locke Iii Dds NPPES

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

DR. CORBET CLARKE LOCKE III DDS (NPI 1639263353) is an individual general practice provider in Waco, Texas, licensed in Texas (14656) and active in the NPI registry since October 2006. He has opted out of Medicare through March 30, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639263353
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CORBET CLARKE LOCKE IIICredential: DDS
Location Address307 CROSSROADS WESTWaco, TX 76712
Mailing Address307 Crossroads WestWaco, TX 76712 · (254) 776-4888 · Fax (254) 776-4668
Fax(254) 776-4668
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1639263353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 14656
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
307 CROSSROADS WEST, Waco, TX 76712

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Corbet Clarke Locke Iii Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 30, 2016 through March 30, 2028.

Opt-Out Effective DateMarch 30, 2016
Opt-Out In Effect ThroughMarch 30, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Corbet Locke's NPI number?

The NPI number for Corbet Locke is 1639263353. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Corbet Locke located?

Corbet Locke practices at 307 Crossroads West, Waco, TX 76712. The listed phone number is (254) 776-4888.

What is Corbet Locke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Corbet Locke enrolled in Medicare?

No. Corbet Locke has opted out of Medicare through March 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Corbet Locke was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.