Corey Dean Bowden, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6304094-1202 Issued in UT

Practice address

1649 W Antelope Dr
Layton, UT 84041-1184

Phone

(801) 444-1230

Fax

(801) 444-1228

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Advanced Spinal Rehabilitation PCGroup PAC ID 1153462791, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• UT PPO
• UT PPO D-SNP

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.

• Advanced Spinal Rehabilitation PC

  • Chiropractor
  • Clearfield, UT
  • NPI 1366778201
  Medicare reassignment Care Compare group NPD Authorized official
• Precision Pain Relief, Inc

  • Durable Medical Equipment & Medical Supplies
  • Layton, UT
  • NPI 1912427220
  NPD (past) Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1063639359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 NORTH 3500 WEST",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "84041",
            "telephone_number": "801-444-1230",
            "fax_number": "801-444-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 W ANTELOPE DR",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411184",
            "telephone_number": "801-444-1230",
            "fax_number": "801-444-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "COREY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6304094-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaelee M Bott, RBT
• Sara Boucha
• Ikara Bounds
• Jennacie Bouy
• Bowden Chiropractic Clinic, Inc.
• Joseph Vernal Bowden, D.C.
• Mykell Bowden
• Taycie Bowden
• Sara Rebecca Bowker, ATC
• Casey Andrew Bowles

• Chiropractor in Layton, UT
• Providers in Layton, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.