Organization Active NPI

Corsentino Spinal

  • Chiropractor
  • Mobile, AL
National Provider Identifier
1376712265
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1253 Issued in AL
Legal business name
CORSENTINO SPINAL
Practice address
801 Downtowner Blvd
Mobile, AL 36609-5403
Phone
(251) 341-1211
Fax
(251) 414-5104
NPI assigned
Feb 25, 2008
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Christopher Roland Corsentino, DCNPI 1689763799
Title
Doctor
Phone
(251) 377-0051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1253 AL Primary

Addresses

Primary practice location

801 Downtowner Blvd
Mobile, AL 36609-5403

Mailing address

801 Downtowner Blvd
Mobile, AL 36609-5403
Phone (251) 341-1211

Other identifiers 2

IdentifierTypeStateIssuer
4560864OtherALAETNA
669113OtherALUNITED HEALTH CARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1376712265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 DOWNTOWNER BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095403",
            "telephone_number": "251-341-1211",
            "fax_number": "251-414-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 DOWNTOWNER BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095403",
            "telephone_number": "251-341-1211",
            "fax_number": "251-414-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORSENTINO SPINAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "CORSENTINO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ROLAND",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "251-377-0051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4560864",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "669113",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.