Corey M Pavitt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHI 272 Issued in AK

Practice address

10004 Glacier Hwy
Ste. B
Juneau, AK 99801-8560

Phone

(907) 790-2225

Fax

(907) 789-5577

NPI assigned

Sep 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pavitt Chiropractic Inc.

  • Clinic/Center
  • Juneau, AK
  • NPI 1396009395
  Authorized official Same address or phone
• Monsef Chiropractic, LLC

  • Chiropractor
  • Juneau, AK
  • NPI 1265750913
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1134229776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 GLACIER HWY",
            "address_2": "STE. B",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018560",
            "telephone_number": "907-790-2225",
            "fax_number": "907-789-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 GLACIER HWY",
            "address_2": "STE. B",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018560",
            "telephone_number": "907-790-2225",
            "fax_number": "907-789-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVITT",
        "first_name": "COREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "CHI 272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAT",
            "identifier": "00020015225",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0272",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "92-0146428",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul M Skan M D CHTD
• Kitia Paul
• Eric G Paulson, DDS
• Kelsey Paulson
• Pavitt Chiropractic Inc.
• Dwight Payton
• Courtney Pegus
• Catherine Louise Peimann, MD
• Nathan Phillip Peimann, M.D.
• Courtney Peratrovich

• Chiropractor in Juneau, AK
• Providers in Juneau, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.