Corrina Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CORRINA CHIROPRACTIC PLLC

Practice address

1205 Pyle Dr
Kingsford, MI 49802-1132

Phone

(906) 828-1349

NPI assigned

Jun 7, 2024

Last updated

Jun 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Corrina Shampo, DCNPI 1952902504

Title

Owner

Phone

(906) 221-9185

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corrina Shampo, DC

  • Chiropractor
  • Kingsford, MI
  • NPI 1952902504
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1083456586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 PYLE DR",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498021132",
            "telephone_number": "906-828-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 PYLE DR",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498021132",
            "telephone_number": "906-828-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRINA CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "SHAMPO",
        "authorized_official_first_name": "CORRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-221-9185",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Kingsford, MI
• Providers in Kingsford, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.