Active NPI
Norman E Corlew, D.C.
- Chiropractor
- Moreno Valley, CA
National Provider Identifier
1083784870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC17455
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DC17455 | CA | MD | Chiropractor |
| 22943 | OR | MD | Chiropractor |
| 2240 | CA | MD | Orthopedic Chiropractor |
| 17455 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Rehabilitation Chiropractor
- Moreno Valley, CA
- NPI 1417027202
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.