Corcoran Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4779 Issued in MN

Legal business name

CORCORAN FAMILY CHIROPRACTIC

Practice address

1267 Stryker Ave
Saint Paul, MN 55118-2220

Phone

(651) 797-2376

Fax

(651) 797-2376

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nicholle Diane Corcoran, DCNPI 1154450278

Title

Chiropractor-Owner

Phone

(651) 797-2376

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholle Diane Corcoran, DC

  • Chiropractor
  • Plainview, MN
  • NPI 1154450278
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1407987415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 STRYKER AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551182220",
            "telephone_number": "651-797-2376",
            "fax_number": "651-797-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 STRYKER AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551182220",
            "telephone_number": "651-797-2376",
            "fax_number": "651-797-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORCORAN FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "NICHOLLE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "CHIROPRACTOR-OWNER",
        "authorized_official_telephone_number": "651-797-2376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876455000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Anne Cope, LMFT
• Jeffrey Richard Copeland, PSGT.
• Melaina Margery Coppersmith, APRN, CRNA
• Kara E Coppinger, MA, LPCC
• Victor Alan Corbett, MD
• Michelle Marie Corcoran, RN
• Katrina Jean Cordes, LMT
• Core Integrity Counseling PLLC
• Greta Corey, PA-C
• Cornerstone Caregiving East LLC

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.