Organization Active NPI

SW Corbin Enterprises LLC

Doing business as Chiropractic Spine & Sports Rehab

  • Chiropractor
  • Baton Rouge, LA
National Provider Identifier
1104129386
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SW CORBIN ENTERPRISES LLC
Doing business as
Chiropractic Spine & Sports Rehab
Practice address
7417 Jefferson Hwy
Baton Rouge, LA 70806-8205
Phone
(225) 924-3989
Fax
(225) 924-3981
NPI assigned
Dec 10, 2010
Last updated
Jan 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Dr. Shay W Corbin, DCNPI 1619046992
Title
President
Phone
(225) 924-3989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

7417 Jefferson Hwy
Baton Rouge, LA 70806-8205

Mailing address

7417 Jefferson Hwy
Baton Rouge, LA 70806-8205
Phone (225) 924-3989

Other names 1

  • Chiropractic Spine & Sports Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101220000039 LA Part B Supplier - Clinic/Group Practice 6406044387 Receives reassigned benefits from 2 practitioners
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

7417 Jefferson Hwy
Baton Rouge, LA 70806
Phone (225) 924-3989

Interoperability endpoints

  • Direct secure messaging: docshaybr@cssr0001.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 3

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": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1104129386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068205",
            "telephone_number": "225-924-3989",
            "fax_number": "225-924-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068205",
            "telephone_number": "225-924-3989",
            "fax_number": "225-924-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW CORBIN ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "SHAY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-924-3989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Spine & Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.