Individual provider Active NPI

Susan D. Corwith, D.C.

  • Chiropractor
  • Southampton, NY
National Provider Identifier
1124187885
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0026721 Issued in NY
Practice address
33 Flying Point Rd Ste 107
Southampton, NY 11968-5275
Phone
(631) 287-2896
Fax
(631) 287-0965
NPI assigned
Dec 8, 2006
Last updated
May 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0026721 NY Primary

Addresses

Primary practice location

33 Flying Point Rd Ste 107
Southampton, NY 11968-5275

Mailing address

33 Flying Point Rd Ste 107
Southampton, NY 11968-5275
Phone (631) 287-2896

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0026721NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1124187885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 FLYING POINT RD STE 107",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685275",
            "telephone_number": "631-287-2896",
            "fax_number": "631-287-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 FLYING POINT RD STE 107",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685275",
            "telephone_number": "631-287-2896",
            "fax_number": "631-287-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORWITH",
        "first_name": "SUSAN",
        "middle_name": "D.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0026721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.