Individual provider Active NPI

Kallie Brooke Corbin, DC

  • Chiropractor
  • Lubbock, TX
National Provider Identifier
1043933971
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14981 Issued in TX
Practice address
6620 Milwaukee Ave Ste 300
Lubbock, TX 79424-0682
Phone
(806) 319-5150
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14981 TX Primary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4758 SC

Addresses

Primary practice location

6620 Milwaukee Ave Ste 300
Lubbock, TX 79424-0682

Mailing address

6620 Milwaukee Ave Ste 300
Lubbock, TX 79424-0682
Phone (806) 319-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240319003334 SC Practitioner - Chiropractic 9638516206 Reassigns benefits to 1 organization
I20250918003375 TX Practitioner - Chiropractic 9638516206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6620 Milwaukee Ave
Suite 300
Lubbock, TX 79424-0682
Phone (503) 975-3331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14981TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Max Living Chiropractic Northwest, LLC Chiropractor CurrentSince Oct 16, 2023 Accepting new patients
Corbin Family Chiropractic PLLC Chiropractor CurrentSince Sep 22, 2025 Accepting new patients
Cccwc, LLC Chiropractor PastSince Oct 1, 2022 Accepting new patients

Locations

7735 Broad River Rd
Irmo, SC 29063
Phone (803) 661-9767

6620 Milwaukee Ave
Ste 300
Lubbock, TX 79424
Phone (503) 975-3331

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1043933971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 MILWAUKEE AVE STE 300",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240682",
            "telephone_number": "806-319-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 MILWAUKEE AVE STE 300",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240682",
            "telephone_number": "806-319-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "KALLIE",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14981",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.