Individual provider Active NPI

Drew Joseph Corpstein, D.C.

  • Chiropractor
  • Clive, IA
National Provider Identifier
1144650771
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007712 Issued in IA
Practice address
1349 NW 121St St Ste 100
Clive, IA 50325-8145
Phone
(515) 422-9892
Fax
(515) 270-0203
NPI assigned
Nov 18, 2013
Last updated
Nov 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007712 IA Primary

Addresses

Primary practice location

1349 NW 121St St Ste 100
Clive, IA 50325-8145

Mailing address

1349 NW 121St St Ste 100
Clive, IA 50325-8145
Phone (515) 422-9892

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140421001199 IA Practitioner - Chiropractic 9335371608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2732 SE Delaware Ave
Suite 280
Ankeny, IA 50021-9322
Phone (515) 639-0012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007712IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Life Chiropractic LLC Chiropractor CurrentSince Jul 16, 2015 Accepting new patients

Locations

2732 SE Delaware Ave
Ste 280
Ankeny, IA 50021
Phone (515) 639-0012

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1144650771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 NW 121ST ST STE 100",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258145",
            "telephone_number": "515-422-9892",
            "fax_number": "515-270-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 NW 121ST ST STE 100",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258145",
            "telephone_number": "515-422-9892",
            "fax_number": "515-270-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPSTEIN",
        "first_name": "DREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.