Organization Active NPI

Corrective Care, P.C.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Mishawaka, IN
National Provider Identifier
1760418248
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
204D00000X Issued in IN
Legal business name
CORRECTIVE CARE, P.C.
Practice address
3555 Park PL W
Suite #200
Mishawaka, IN 46545-3513
Phone
(574) 271-8646
Fax
(574) 271-8624
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Mark Cantieri, D.O.
Title
C.E.O.
Phone
(574) 271-8646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X 204D00000X IN Primary

Addresses

Primary practice location

3555 Park PL W
Suite #200
Mishawaka, IN 46545-3513

Mailing address

3555 Park PL W
Suite #200
Mishawaka, IN 46545-3513
Phone (574) 271-8646

Other identifiers 1

IdentifierTypeStateIssuer
0000000104082OtherINBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3555 Park Pl W
Mishawaka, IN 46545
Phone (574) 271-8646

3555 Park Pl W
Ste 200
Mishawaka, IN 46545
Phone (574) 247-7000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1760418248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 PARK PL W",
            "address_2": "SUITE #200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453513",
            "telephone_number": "574-271-8646",
            "fax_number": "574-271-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 PARK PL W",
            "address_2": "SUITE #200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453513",
            "telephone_number": "574-271-8646",
            "fax_number": "574-271-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIVE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "CANTIERI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "574-271-8646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "IN",
            "license": "204D00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000000104082",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.