Individual provider Active NPI

Corey Gary Clements, DC

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1013907039
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28049 Issued in CA
Practice address
3720 E Anaheim St
Suite 180
Long Beach, CA 90804-4085
Phone
(562) 986-2865
Fax
(562) 684-4400
NPI assigned
Oct 21, 2005
Last updated
Feb 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28049 CA Primary

Addresses

Primary practice location

3720 E Anaheim St
Suite 180
Long Beach, CA 90804-4085

Mailing address

3720 E Anaheim St
Suite 180
Long Beach, CA 90804-4085
Phone (562) 986-2865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palzer Chiropractic Center Inc. Chiropractor CurrentSince Dec 15, 2024 Accepting new patients
Clements Chiropractic Center, Inc Chiropractor CurrentSince Jul 30, 2004 Accepting new patients

Locations

3720 E Anaheim St
Ste 180
Long Beach, CA 90804
Phone (562) 431-5055

Interoperability endpoints

  • Direct secure messaging: corey.clements.1@22164.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1013907039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 E ANAHEIM ST",
            "address_2": "SUITE 180",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044085",
            "telephone_number": "562-986-2865",
            "fax_number": "562-684-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 E ANAHEIM ST",
            "address_2": "SUITE 180",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044085",
            "telephone_number": "562-986-2865",
            "fax_number": "562-684-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "COREY",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.