Individual provider Active NPI

Norman E Corlew, D.C.

  • Chiropractor
  • Moreno Valley, CA
National Provider Identifier
1083784870
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17455 Issued in CA
Practice address
23890 Alessandro Blvd
Suite F
Moreno Valley, CA 92553-0312
Phone
(951) 656-7724
Fax
(951) 656-3218
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC17455 CA Primary
Chiropractor 111N00000X 22943 OR
Orthopedic Chiropractor 111NX0800X 2240 CA

Addresses

Primary practice location

23890 Alessandro Blvd
Suite F
Moreno Valley, CA 92553-0312

Mailing address

PO Box 10312
Moreno Valley, CA 92552-0312
Phone (951) 656-7724

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
DC17455CAMDChiropractor
22943ORMDChiropractor
2240CAMDOrthopedic Chiropractor
17455CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alessandro Chiropractic Past Accepting new patients

Organizations & group practices 1

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1083784870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10312",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925520312",
            "telephone_number": "951-656-7724",
            "fax_number": "951-656-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23890 ALESSANDRO BLVD",
            "address_2": "SUITE F",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925530312",
            "telephone_number": "951-656-7724",
            "fax_number": "951-656-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEW",
        "first_name": "NORMAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17455",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "22943",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "2240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.