Individual provider Active NPI

Cory W Joiner, DRIVER

  • Driver
  • Milwaukee, WI
National Provider Identifier
1063308310
Registry record updated Jun 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
J5601007726704 Issued in WI
Practice address
5151 N 106TH St
Milwaukee, WI 53225-3929
Phone
(414) 766-4060
Fax
(414) 554-5359
NPI assigned
Jun 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X J5601007726704 WI Primary

Addresses

Primary practice location

5151 N 106TH St
Milwaukee, WI 53225-3929

Mailing address

5151 N 106TH St
Milwaukee, WI 53225-3929
Phone (414) 766-4060

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
J5601007726704WIMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1749859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749859200000",
    "number": "1063308310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 N 106TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253929",
            "telephone_number": "414-766-4060",
            "fax_number": "414-554-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N 106TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253929",
            "telephone_number": "414-766-4060",
            "fax_number": "414-554-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOINER",
        "first_name": "CORY",
        "middle_name": "W",
        "credential": "DRIVER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "WI",
            "license": "J5601007726704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; 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.