Organization Active NPI

Gregg D Corrigan DPM PC

  • Primary Podiatric Medicine Podiatrist
  • Davenport, IA
National Provider Identifier
1093914020
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
473 Issued in IA
Legal business name
GREGG D CORRIGAN DPM PC
Practice address
2839 Brady St
Davenport, IA 52803-1519
Phone
(563) 323-9876
Fax
(563) 323-1032
NPI assigned
Jul 11, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Gregg D Corrigan, DPMNPI 1730162017
Title
Owner
Phone
(563) 323-9876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 473 IA Primary

Addresses

Primary practice location

2839 Brady St
Davenport, IA 52803-1519

Mailing address

2839 Brady St
Davenport, IA 52803-1519
Phone (563) 323-9876

National Provider Directory

National Provider Directory

Locations

2839 Brady St
Davenport, IA 52803
Phone (563) 323-1032

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1093914020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 BRADY ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528031519",
            "telephone_number": "563-323-9876",
            "fax_number": "563-323-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 BRADY ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528031519",
            "telephone_number": "563-323-9876",
            "fax_number": "563-323-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG D CORRIGAN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "CORRIGAN",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-323-9876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IA",
            "license": "473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.