Individual provider Active NPI

Joseph Jason Corosanite, DC

  • Chiropractor
  • Walled Lake, MI
National Provider Identifier
1407925944
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008549 Issued in MI
Practice address
1183 Pontiac Trail
Walled Lake, MI 48390
Phone
(248) 624-6111
Fax
(248) 624-6129
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008549 MI Primary

Addresses

Primary practice location

1183 Pontiac Trail
Walled Lake, MI 48390

Mailing address

1183 Pontiac Trail
Walled Lake, MI 48390
Phone (248) 624-6111

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
O Dell Chiropractic Center PC Chiropractor Past Accepting new patients
Nicole Bittner DC PC Chiropractor PastSince Feb 4, 2013 Accepting new patients
Dr. Adam N Rushford DC PLLC Chiropractor PastSince Mar 22, 2013 Accepting new patients

Organizations & group practices 3

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1407925944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 PONTIAC TRAIL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "48390",
            "telephone_number": "248-624-6111",
            "fax_number": "248-624-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 PONTIAC TRAIL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "48390",
            "telephone_number": "248-624-6111",
            "fax_number": "248-624-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COROSANITE",
        "first_name": "JOSEPH",
        "middle_name": "JASON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walled Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.