David James Corll, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27 3234 Issued in OR

Practice address

9375 SW Commerce Cir a-1
Wilsonville, OR 97070-9630

Phone

(503) 585-9200

Fax

(503) 582-1487

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Care Chiropractic PCGroup PAC ID 0547336877, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Complete Care Chiropractic PC

  • Preferred Provider Organization
  • Wilsonville, OR
  • NPI 1093984668
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1386717288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 SW COMMERCE CIR A-1",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709630",
            "telephone_number": "503-585-9200",
            "fax_number": "503-582-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 SW COMMERCE CIR A-1",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709630",
            "telephone_number": "503-585-9200",
            "fax_number": "503-582-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLL",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 3234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006024",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrian Connolley, DPT
• Edward Cleary Cook Jr., P.T.
• Richard Brad Cook, M.D.
• Cooperative Perfusion Services
• Whitley Cope, PHARM.D.
• Deborah Eileen Cosier, RPH
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Robert Eric Courtney, BA

• Chiropractor in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.