Chanda J Corbin, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901002094 Issued in MI

Legal business name

CHANDA J CORBIN, PLLC

Practice address

174 S Main St
Romeo, MI 48065-5128

Phone

(586) 752-2861

NPI assigned

Jun 8, 2015

Organization subpart

No

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

Authorized official

Name

Chanda Corbin, DPMNPI 1992790059

Title

Owner

Phone

(586) 337-9055

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Washington Foot and Ankle Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chanda J Corbin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Romeo, MI
  • NPI 1992790059

  Foot & Ankle Surgery, MI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1043690779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 S MAIN ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480655128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 S MAIN ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480655128",
            "telephone_number": "586-752-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDA J CORBIN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "CHANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-337-9055",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992790059",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Cutler Burley, D.D.S
• Karen Ruth Callahan, RN
• Henry A Carels, D.O.
• Nina Z Casey, M.D.
• Catherine Rowe-Lonczynski
• Susan Chase, MA LLP
• Laura Clarkston
• Claude W. Eggertsen, PHD, PLLC
• Tara Clayfield, LLMSW
• Heidi A Coffman, LLC

• All providers in Romeo, MI
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.