Individual provider Active NPI

Corinne Easterling Weaver, D.C.

  • Thermography Chiropractor
  • Indian Trail, NC
National Provider Identifier
1548276512
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thermography ChiropractorTaxonomy code 111NT0100X
License
3238 Issued in NC
Practice address
14015 Independence Blvd Ste D
Indian Trail, NC 28079-9668
Phone
(704) 882-1488
Fax
(704) 882-1448
NPI assigned
Jul 31, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thermography Chiropractor 111NT0100X 3238 NC Primary

Addresses

Primary practice location

14015 Independence Blvd Ste D
Indian Trail, NC 28079-9668

Mailing address

14015 Independence Blvd Ste D
Indian Trail, NC 28079-9668
Phone (704) 882-1488

Other identifiers 1

IdentifierTypeStateIssuer
89085P3MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001787 NC Practitioner - Chiropractic 7416930797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3238NCMDSurgical Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1548276512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015 INDEPENDENCE BLVD STE D",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280799668",
            "telephone_number": "704-882-1488",
            "fax_number": "704-882-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14015 INDEPENDENCE BLVD STE D",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280799668",
            "telephone_number": "704-882-1488",
            "fax_number": "704-882-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "CORINNE",
        "middle_name": "EASTERLING",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NT0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Thermography",
            "state": "NC",
            "license": "3238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085P3",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.