Active NPI
Dana L Corosanite, DC
- Chiropractor
- Walled Lake, MI
National Provider Identifier
1235151499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008602
- Practice address
- 1183 N Pontiac TRL
Walled Lake, MI 48390-3138 - Phone
- (248) 624-6111
- Fax
- (248) 624-6129
- NPI assigned
- Jul 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301008602 | MI | Primary |
Addresses
Primary practice location
1183 N Pontiac TRL
Walled Lake, MI 48390-3138
Mailing address
3872 Snowden LN
Howell, MI 48843-8644
Phone (248) 624-6111
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2301008602 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O Dell Chiropractic Center PC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Walled Lake, MI
- NPI 1295751873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235151499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3872 SNOWDEN LN",
"city": "HOWELL",
"state": "MI",
"postal_code": "488438644",
"telephone_number": "248-624-6111",
"fax_number": "248-624-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1183 N PONTIAC TRL",
"city": "WALLED LAKE",
"state": "MI",
"postal_code": "483903138",
"telephone_number": "248-624-6111",
"fax_number": "248-624-6129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COROSANITE",
"first_name": "DANA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walled Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.