Cornejo Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11296 Issued in TX

Legal business name

CORNEJO CHIROPRACTIC P.C.

Practice address

1430 E Southeast Loop 323
Tyler, TX 75701-9129

Phone

(903) 939-1415

Fax

(903) 939-1443

NPI assigned

Oct 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Luis Junior Cornejo, D.CNPI 1851627707

Title

Owner

Phone

(903) 939-1415

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis Junior Cornejo, D.C

  • Chiropractor
  • Tyler, TX
  • NPI 1851627707
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1295061620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 E SOUTHEAST LOOP 323",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019129",
            "telephone_number": "903-939-1415",
            "fax_number": "903-939-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 E SOUTHEAST LOOP 323",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019129",
            "telephone_number": "903-939-1415",
            "fax_number": "903-939-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNEJO CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "CORNEJO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "JUNIOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-939-1415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Msity Lynn Copeland, RN
• Thomas Coppola, DO
• Angelica Cordero, LVN
• Brittany Ann Cordray
• Kristen Corley, APRN
• Luis Junior Cornejo, D.C
• Jael Cornelio, LMSW
• Jaime Dawn Cornelius
• Teresa Cornelius
• Cornerstone Home Health

• Chiropractor in Tyler, TX
• Providers in Tyler, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.