Individual provider Active NPI

Kyle Garrett Corbin, D.C.

  • Chiropractor
  • Seekonk, MA
National Provider Identifier
1184909145
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3545 Issued in MA
Practice address
664 Taunton Ave
Seekonk, MA 02771-3117
Phone
(508) 336-4114
Fax
(508) 557-0261
NPI assigned
Oct 20, 2011
Last updated
Oct 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10430 FL
Chiropractor 111N00000X 3545 MA Primary

Addresses

Primary practice location

664 Taunton Ave
Seekonk, MA 02771-3117

Mailing address

664 Taunton Ave
Seekonk, MA 02771-3117
Phone (508) 336-4114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161108000389 MA Practitioner - Chiropractic 3577842996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kyle Corbin, DC PAGroup PAC ID 2668751082, 2 clinicians

Practice addresses (Care Compare)

664 Taunton Ave
Seekonk, MA 02771-3117
Phone (508) 336-4114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 10430FLMDChiropractor
3545MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kyle Corbin, DC PA Chiropractor CurrentSince Oct 1, 2016 Accepting new patients
Parisi Chiropractic Chiropractor PastSince Oct 1, 2016 Accepting new patients

Locations

664 Taunton Ave
Seekonk, MA 02771
Phone (508) 336-4114

Organizations & group practices 2

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": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1184909145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 TAUNTON AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027713117",
            "telephone_number": "508-336-4114",
            "fax_number": "508-557-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 TAUNTON AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027713117",
            "telephone_number": "508-336-4114",
            "fax_number": "508-557-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "KYLE",
        "middle_name": "GARRETT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-20",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10430",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seekonk, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.