Active NPI
Corey Allen Wasicek, D.C.
- Chiropractor
- Victoria, TX
National Provider Identifier
1144246802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10335
- Practice address
- 1501 E Red River St
Suite A2
Victoria, TX 77901-5522 - Phone
- (361) 485-1318
- Fax
- (361) 485-1327
- NPI assigned
- Jul 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10335 | TX | Primary |
Addresses
Primary practice location
1501 E Red River St
Suite A2
Victoria, TX 77901-5522
Mailing address
PO Box 468
Victoria, TX 77902-0468
Phone (361) 485-1318
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144246802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 468",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779020468",
"telephone_number": "361-485-1318",
"fax_number": "316-485-1327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E RED RIVER ST",
"address_2": "SUITE A2",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015522",
"telephone_number": "361-485-1318",
"fax_number": "361-485-1327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASICEK",
"first_name": "COREY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.