Active NPI
Corbin Family Chiropractic, PLLC
- Chiropractor
- Kent, WA
National Provider Identifier
1558632885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034670
- Legal business name
- CORBIN FAMILY CHIROPRACTIC, PLLC
- Practice address
- 25821 104TH Ave SE
Kent, WA 98030-7607 - Phone
- (253) 854-1181
- Fax
- (253) 850-9620
- NPI assigned
- Jan 18, 2012
- Last updated
- Mar 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer L Corbin, D.C.
- Title
- Managing Member
- Phone
- (253) 854-1181
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034670 | WA | Primary |
Addresses
Primary practice location
25821 104TH Ave SE
Kent, WA 98030-7607
Mailing address
25821 104TH Ave SE
Kent, WA 98030-7607
Phone (253) 854-1181
National Provider Directory
National Provider DirectoryLocations
25821 104th Ave SE
Kent, WA 98030
Phone (253) 854-1181
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.
-
- Chiropractor
- Kent, WA
- NPI 1275676504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332979200000",
"number": "1558632885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25821 104TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980307607",
"telephone_number": "253-854-1181",
"fax_number": "253-850-9620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25821 104TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980307607",
"telephone_number": "253-854-1181",
"fax_number": "253-850-9620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORBIN FAMILY CHIROPRACTIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-18",
"last_updated": "2012-03-29",
"status": "A",
"authorized_official_last_name": "CORBIN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "253-854-1181",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.