Active NPI
Deborah Leah Chagnon Corbett, D.C.
- Chiropractor
- Fond Du Lac, WI
National Provider Identifier
1760432140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3673012
- Practice address
- 520 S Main St
Fond Du Lac, WI 54935-5726 - Phone
- (920) 922-4980
- Fax
- (920) 907-4329
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3673012 | WI | Primary |
Addresses
Primary practice location
520 S Main St
Fond Du Lac, WI 54935-5726
Mailing address
520 S Main St
Fond Du Lac, WI 54935-5726
Phone (920) 922-4980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060310000536 | WI | Practitioner - Chiropractic | 9133136427 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
520 S Main St
Fond Du Lac, WI 54935-5726
Phone (920) 922-4980
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3673012 | WI | MD | Chiropractor |
| 3673 | WI | MD | Occupational Therapist |
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": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240876800000",
"number": "1760432140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S MAIN ST",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549355726",
"telephone_number": "920-922-4980",
"fax_number": "920-907-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S MAIN ST",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549355726",
"telephone_number": "920-922-4980",
"fax_number": "920-907-4329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "DEBORAH",
"middle_name": "LEAH CHAGNON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2009-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3673012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.