Active NPI
Corian Delon Edwards, CMT, LMT
- Massage Therapist
- Flint, MI
National Provider Identifier
1295175776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- G3277 Beecher Rd
Flint, MI 48532-3615 - Phone
- (810) 282-4278
- Fax
- (810) 396-6117
- NPI assigned
- Jun 28, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MI | Primary |
Addresses
Primary practice location
G3277 Beecher Rd
Flint, MI 48532-3615
Mailing address
G3277 Beecher Rd
Flint, MI 48532-3615
Phone (810) 282-4278
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Healing Bodyworks | 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 and National Provider Directory roles.
-
- Clinic/Center
- Flint, MI
- NPI 1891156139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468627200000",
"number": "1295175776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G3277 BEECHER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485323615",
"telephone_number": "810-282-4278",
"fax_number": "810-396-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G3277 BEECHER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485323615",
"telephone_number": "810-282-4278",
"fax_number": "810-396-6117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "CORIAN",
"middle_name": "DELON",
"name_prefix": "Mr.",
"credential": "CMT, LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-28",
"last_updated": "2016-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.