Active NPI
Corey Modrell, D.C.
- Chiropractor
- Montrose, CO
National Provider Identifier
1487600805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH5860
- Practice address
- 1550 East Niagara Rd
Montrose, CO 81401-5027 - Phone
- (970) 240-4500
- Fax
- (970) 240-4897
- NPI assigned
- May 26, 2006
- Last updated
- May 6, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH5860 | CO | Primary |
Addresses
Primary practice location
1550 East Niagara Rd
Montrose, CO 81401-5027
Mailing address
1550 Niagara Rd
Montrose, CO 81401-5027
Phone (970) 240-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1734 N Prospect Dr
Palmer, AK 99645-9655
Phone (907) 746-7842
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH5860 | CO | MD | Chiropractor |
| 5860 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arctic Chiropractic East Mat-Su LLC | Chiropractor | Current | Accepting new patients |
| Arctic Medical Center Matsu | Current | Accepting new patients | |
| Modrell Family and Sports Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
Locations
1150 S Colony Way
Ste 3
Palmer, AK 99645
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Palmer, AK
- NPI 1437489903
Chiropractor
-
- Chiropractor
- Montrose, CO
- NPI 1346296779
-
- Medical Specialty Clinic/Center
- Palmer, AK
- NPI 1578178349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273104000000",
"number": "1487600805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 NIAGARA RD",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015027",
"telephone_number": "970-240-4500",
"fax_number": "970-240-4897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 EAST NIAGARA RD",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015027",
"telephone_number": "970-240-4500",
"fax_number": "970-240-4897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODRELL",
"first_name": "COREY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2010-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CH5860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
- Mindfulness Based Interventions LLC
- Mindy Miller MD PC
- Jessica Paige Miniat, RN
- Cara Miramontes
- Modrell Family and Sports Chiropractic, Inc
- Mont Rose Counseling, LLC.
- Montrose Chiropractic Center, Inc.
- Montrose County Family Planning
- Montrose County Nursing
- Montrose County School District Re-1J (Northside Child Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.