NPIMap

Organization Active NPI

Corbin Chiropractic, PC

  • Chiropractor
  • Clio, MI
National Provider Identifier
1245425263
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008926 Issued in MI
Legal business name
CORBIN CHIROPRACTIC, PC
Practice address
5092 W Vienna Rd
Suite H
Clio, MI 48420-2803
Phone
(810) 686-3123
Fax
(810) 686-3124
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Mrs. Susan Lynn Corbin, D.C.
Title
President
Phone
(810) 686-3123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008926 MI Primary

Addresses

Primary practice location

5092 W Vienna Rd
Suite H
Clio, MI 48420-2803

Mailing address

5092 W Vienna Rd
Suite H
Clio, MI 48420-2803
Phone (810) 686-3123

Other identifiers 1

IdentifierTypeStateIssuer
0B51344OtherMIBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

5092 W Vienna Rd
Ste H
Clio, MI 48420
Phone (810) 368-4102

11386 N Linden Rd
Ste A1H
Clio, MI 48420
Phone (810) 686-3123

Practitioners & affiliated clinicians

Practitioners 5

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": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1245425263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5092 W VIENNA RD",
            "address_2": "SUITE H",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484202803",
            "telephone_number": "810-686-3123",
            "fax_number": "810-686-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5092 W VIENNA RD",
            "address_2": "SUITE H",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484202803",
            "telephone_number": "810-686-3123",
            "fax_number": "810-686-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORBIN CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-686-3123",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0B51344",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clio, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.