Rudolph K Coronado Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1939 Issued in NC

Practice address

108 Dickens Dr
Raleigh, NC 27610-2425

Phone

(919) 696-3750

NPI assigned

Jun 17, 2014

Last updated

Jun 17, 2014By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Mybraindr LLC

  • Health Service Clinic/Center
  • Raleigh, NC
  • NPI 1881210128
  NPD (past)

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1750795936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 DICKENS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102425",
            "telephone_number": "919-696-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DICKENS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102425",
            "telephone_number": "919-696-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONADO",
        "first_name": "RUDOLPH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Buran Cornett, M.D.
• Lauren Wooten Cornette, PA
• Jerome Fitzgerald Cornwall, LCSW
• Thomas Paul Cornwall, MD
• Andrea Coronado
• Joseph Lee Corprew
• Edgar Xavier Correa, DPM
• Nancy J Correa, M.A., CCC-SLP
• Barbara Correal Perez, MD
• Rebecca Correia, M.S. CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.