Individual provider Active NPI

Corey Walter Skinner, DC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1285899757
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10487 Issued in TX
Practice address
5400 E Mockingbird LN
Ste 214
Dallas, TX 75206-5300
Phone
(817) 265-7335
Fax
(817) 265-7361
NPI assigned
Jul 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10487 TX Primary

Addresses

Primary practice location

5400 E Mockingbird LN
Ste 214
Dallas, TX 75206-5300

Mailing address

5400 E Mockingbird LN
Ste 214
Dallas, TX 75206-5300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210505001721 TX Practitioner - Chiropractic 4284043175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5400 E Mockingbird LN
214 Action Chiropractic
Dallas, TX 75206-5300
Phone (214) 821-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10487TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Skinner Chiropractic, PLLC Chiropractor CurrentSince Jan 14, 2021 Accepting new patients
Arkansas Pioneer Chiropractic Health Centre P a Chiropractor PastSince Jun 28, 2009 Accepting new patients

Locations

5400 E Mockingbird Ln
Ste 214
Dallas, TX 75206
Phone (214) 821-9999

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1285899757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 E MOCKINGBIRD LN",
            "address_2": "STE 214",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 E MOCKINGBIRD LN",
            "address_2": "STE 214",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065300",
            "telephone_number": "817-265-7335",
            "fax_number": "817-265-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "COREY",
        "middle_name": "WALTER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.