Organization Active NPI

Tri County Chiropractic Center Inc

  • Chiropractor
  • Corbin, KY
National Provider Identifier
1164695706
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4544 Issued in KY
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

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Samuel Tony Combs II, DCNPI 1841362118
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000000112947OtherKYBC BS
85000065MedicaidKY
6086701OtherKYMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080616000589 KY Part B Supplier - Clinic/Group Practice 4284705492 Receives reassigned benefits from 1 practitioner
Practice locations: Corbin, KY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.