Individual provider Active NPI

Corey A Stein, DC

  • Chiropractor
  • Palm City, FL
National Provider Identifier
1235306150
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14156 Issued in FL
Practice address
2351 SW Martin Hwy
Palm City, FL 34990-3222
Phone
(772) 324-9337
Fax
(772) 324-9347
NPI assigned
May 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X7781-B NY
Chiropractor 111N00000X CH14156 FL Primary

Addresses

Primary practice location

2351 SW Martin Hwy
Palm City, FL 34990-3222

Mailing address

2351 SW Martin Hwy
Palm City, FL 34990-3222
Phone (772) 324-9337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230719003447 FL Practitioner - Chiropractic 0446238323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14156FLMDChiropractor
X7781-BNYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action Medical Center LLC CurrentSince Apr 1, 2023 Accepting new patients
Back in Action Medical Center LLC CurrentSince Apr 1, 2023 Accepting new patients
Glenn Rosenberg, D.C., P.C. Chiropractor Past Accepting new patients

Locations

2351 SW Martin Hwy
Palm City, FL 34990
Phone (772) 324-8337

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCBABD

Organizations & group practices 3

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1235306150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 SW MARTIN HWY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903222",
            "telephone_number": "772-324-9337",
            "fax_number": "772-324-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 SW MARTIN HWY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903222",
            "telephone_number": "772-324-9337",
            "fax_number": "772-324-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "COREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X7781-B",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.