Organization Active NPI

Corbett Chiropractic and Health Enhancement, PA

  • Chiropractor
  • Northfield, MN
National Provider Identifier
1497951610
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3149 Issued in MN
Legal business name
CORBETT CHIROPRACTIC AND HEALTH ENHANCEMENT, PA
Practice address
1605 Heritage Dr
Suite a
Northfield, MN 55057-3265
Phone
(507) 645-8846
Fax
(507) 645-4145
NPI assigned
Jun 25, 2007
Last updated
Nov 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Dr. Daniel CorbettNPI 1285647339
Title
Chiropractor Owner
Phone
(507) 645-8846

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 3149 MN Primary

Addresses

Primary practice location

1605 Heritage Dr
Suite a
Northfield, MN 55057-3265

Mailing address

1605 Heritage Dr
Suite a
Northfield, MN 55057-3265
Phone (507) 645-8846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050822001326 MN Part B Supplier - Clinic/Group Practice 6901837764 Receives reassigned benefits from 1 practitioner
Practice locations: Northfield, MN

National Provider Directory

National Provider Directory

Locations

1020 Highway 3 S
Northfield, MN 55057
Phone (507) 645-8846

1605 Heritage Dr
#A
Northfield, MN 55057
Phone (507) 645-8846

1605 Heritage Dr
Ste A
Northfield, MN 55057
Phone (507) 645-8846

423 Division St S
Northfield, MN 55057
Phone (507) 645-8846

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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1497951610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 HERITAGE DR",
            "address_2": "SUITE A",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573265",
            "telephone_number": "507-645-8846",
            "fax_number": "507-645-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 HERITAGE DR",
            "address_2": "SUITE A",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573265",
            "telephone_number": "507-645-8846",
            "fax_number": "507-645-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORBETT CHIROPRACTIC AND HEALTH ENHANCEMENT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "507-645-8846",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.