Cecil Todd Corvin, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3207 Issued in NC

Practice address

375 Hospital St Ste 100
Mocksville, NC 27028-2087

Phone

(336) 753-0056

Fax

(336) 753-0056

NPI assigned

Oct 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Corvin Chiropractic, PC

  • Chiropractor
  • Mocksville, NC
  • NPI 1245308360
  NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619064276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 HOSPITAL ST STE 100",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282087",
            "telephone_number": "336-753-0056",
            "fax_number": "336-753-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 HOSPITAL ST STE 100",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282087",
            "telephone_number": "336-753-0056",
            "fax_number": "336-753-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORVIN",
        "first_name": "CECIL",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "085TX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher John Comfort, PA-C
• Emma Grace Conley, LCSWA
• Katharine Cornatzer, FNP
• Tona F Cornatzer, PA-C
• Corvin Chiropractic, PC
• County of Davie (Davie County Health Department)
• County of Davie (Davie County EMS)
• County of Davie Office of Finance Agent (Davie County Health Department & Home Health Agency)
• County of Davie Office of Finance Agent (Davie County Health Department)
• County of Davie Office of Finance Agent (Davie County Behavioral Health Services)

• Chiropractor in Mocksville, NC
• Providers in Mocksville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.