Individual provider Active NPI

Corrie Elton Anspach, D.C., C.C.S.P.

  • Chiropractor
  • Escanaba, MI
National Provider Identifier
1366612533
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008375 Issued in MI
Practice address
2620 College Ave
Escanaba, MI 49829-9565
Phone
(906) 786-8888
Fax
(906) 786-8813
NPI assigned
Mar 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008375 MI Primary

Addresses

Primary practice location

2620 College Ave
Escanaba, MI 49829-9565

Mailing address

2620 College Avenue
Escanaba, MI 49829-9565
Phone (906) 786-8888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080826000488 MI Practitioner - Chiropractic 4981783438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
May accept Medicare assignment
Group practices
College Avenue Health Associates PCGroup PAC ID 7810062858, 2 clinicians

Practice addresses (Care Compare)

2620 College Ave
Escanaba, MI 49829-9565
Phone (906) 786-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
College Avenue Health Associates PC Chiropractor PastSince Jan 17, 2007 Accepting new patients

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": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1366612533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 COLLEGE AVENUE",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498299565",
            "telephone_number": "906-786-8888",
            "fax_number": "906-786-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 COLLEGE AVE",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498299565",
            "telephone_number": "906-786-8888",
            "fax_number": "906-786-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSPACH",
        "first_name": "CORRIE",
        "middle_name": "ELTON",
        "name_prefix": "Mr.",
        "credential": "D.C., C.C.S.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.