Individual provider Active NPI

Mark Andrew Corbelli, D.C.

  • Chiropractor
  • Midlothian, VA
National Provider Identifier
1669450730
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000294 Issued in VA
Practice address
1520 Huguenot Rd
Suite 116
Midlothian, VA 23113-2477
Phone
(804) 897-0965
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000294 VA Primary

Addresses

Primary practice location

1520 Huguenot Rd
Suite 116
Midlothian, VA 23113-2477

Mailing address

1520 Huguenot Rd
Suite 116
Midlothian, VA 23113-2477
Phone (804) 897-0965

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111122000878 VA Practitioner - Chiropractic 4486828753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11506 Allecingie Pkwy
Suite 1B
North Chesterfield, VA 23235-4327
Phone (804) 897-0965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Chiropractic Ctr PC Chiropractor CurrentSince Apr 1, 2017 Accepting new patients

Locations

11506 Allecingie Pkwy
Ste 1B
North Chesterfield, VA 23235
Phone (804) 897-0965

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669450730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 HUGUENOT RD",
            "address_2": "SUITE 116",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132477",
            "telephone_number": "804-897-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 HUGUENOT RD",
            "address_2": "SUITE 116",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132477",
            "telephone_number": "804-897-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBELLI",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • 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.
  • 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.

Verify at the official NPI Registry.