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Deactivated NPI 1033179650 Deactivated / Inactive NPI Male Practitioner

Dr. John B. Carbery , DMD

Dentist - General Practice • Yakima, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Carbery has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 27, 2006
NPI Deactivation Date February 16, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. John Carbery, DMD was a registered Dentist - General Practice practicing in Yakima, WA. Throughout an active medical career spanning 15 years, Dr. Carbery provided care at the practice location at 1015 S 40TH AVE until profile deactivation on 2021-02-16.

Practice Location & Contact Primary Location

Practice Address

1015 S 40th Ave
Suite #19

Yakima, WA 989083806

Telephone 5099664220
Fax 5099668675
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Yakima, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
63 Specialists

Practicing in Yakima, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00004476

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Stephen Younker , EdD

Psychologist - Group Psychotherapy

NPI 1144389529

Doctor of Education (Ed.D.)

Candie Campbell , CDP

Counselor - Addiction (Substance Use Disorder)

NPI 1245459726
Duane Dolliver , MS

Marriage & Family Therapist

NPI 1518043900

Master of Science

NPI 1558531038
Dr. Joy Staley , PhD, MED

Counselor - Mental Health

NPI 1619052263

Doctor of Philosophy (Ph.D.), Master of Education

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 16, 2021

Record deactivated on February 16, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1015 S 40TH AVE, SUITE #19, YAKIMA, WA 989083806 (Tel: 5099664220)

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Updated Business Mailing Address July 08, 2007

Registered at 1015 S 40TH AVE, SUITE #19, YAKIMA, WA 989083806 (Tel: 5099664220)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN CARBERY, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DE00004476 in WA)

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Initial NPI Registration & Enumeration March 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033179650
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2006
Last Update: July 08, 2007
Deactivation Date: February 16, 2021

Mailing Address

1015 S 40th Ave, Suite #19

Yakima, WA 989083806

Phone: 5099664220

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.