Michael E. Corry, DC, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 3861 Issued in FL

Legal business name

MICHAEL E. CORRY, DC, PA

Doing business as

Riverbridge Chiropractic Center

Practice address

6858 Forest Hill Blvd
Greenacres, FL 33413-3352

Phone

(561) 968-0922

NPI assigned

Oct 3, 2012

Last updated

Oct 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael E. Corry, DCNPI 1669562997

Title

Owner

Phone

(561) 968-0922

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Riverbridge Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Michael Edward Corry, DC

  • Chiropractor
  • Greenacres, FL
  • NPI 1669562997
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1750633574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6858 FOREST HILL BLVD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334133352",
            "telephone_number": "561-968-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6858 FOREST HILL BLVD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334133352",
            "telephone_number": "561-968-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. CORRY, DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "CORRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-968-0922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 3861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380100400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverbridge Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.