Individual provider Active NPI

Colton Daniel Korne, DC

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1144874140
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34589 Issued in CA
Practice address
4861 Convoy St
San Diego, CA 92111-1610
Phone
(858) 215-4485
Fax
(858) 565-8504
NPI assigned
Jul 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34589 CA Primary

Addresses

Primary practice location

4861 Convoy St
San Diego, CA 92111-1610

Mailing address

4861 Convoy St
San Diego, CA 92111-1610
Phone (858) 215-4485

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
34589CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Korne Chiropractic Corporation Chiropractor CurrentSince Apr 23, 2023 Accepting new patients

Locations

7270 Clairemont Mesa Blvd
San Diego, CA 92111
Phone (858) 215-4485

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1144874140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4861 CONVOY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111610",
            "telephone_number": "858-215-4485",
            "fax_number": "858-565-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 CONVOY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111610",
            "telephone_number": "858-215-4485",
            "fax_number": "858-565-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNE",
        "first_name": "COLTON",
        "middle_name": "DANIEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.