Active NPI
Tri County Chiropractic Center Inc
- Chiropractor
- Corbin, KY
National Provider Identifier
1164695706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4544
- Legal business name
- TRI COUNTY CHIROPRACTIC CENTER INC
- Practice address
- 507 US Highway 25 W
Corbin, KY 40701-4525 - Phone
- (606) 528-5822
- Fax
- (606) 528-6369
- NPI assigned
- Apr 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Tony Combs II, DC
- Title
- Doctor of Chiropractic
- Phone
- (606) 528-5822
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4544 | KY | Primary |
Addresses
Primary practice location
507 US Highway 25 W
Corbin, KY 40701-4525
Mailing address
PO Box 874
507 US Hwy 25W
Corbin, KY 40702-0874
Phone (606) 528-5822
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000112947 | Other | KY | BC BS |
| 85000065 | Medicaid | KY | |
| 6086701 | Other | KY | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
507 US Highway 25 W
Corbin, KY 40701
Phone (606) 528-5822
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Corbin, KY
- NPI 1841362118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657065600000",
"number": "1164695706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 874",
"address_2": "507 US HWY 25W",
"city": "CORBIN",
"state": "KY",
"postal_code": "407020874",
"telephone_number": "606-528-5822",
"fax_number": "606-528-6369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 US HIGHWAY 25 W",
"city": "CORBIN",
"state": "KY",
"postal_code": "407014525",
"telephone_number": "606-528-5822",
"fax_number": "606-528-6369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI COUNTY CHIROPRACTIC CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-03",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A",
"authorized_official_last_name": "COMBS",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "TONY",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "606-528-5822",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "KY",
"license": "4544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "000000112947",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85000065",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "6086701",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.