Justin Cole Corbelle, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2077 Issued in CT

Practice address

15 Jewel Lane
New Fairfield, CT 06812

Phone

(203) 648-3065

NPI assigned

Jul 7, 2017

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

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thames Chiropractic Center, P.C.Group PAC ID 8921908617, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Thames Chiropractic Center, P.C.

  • Chiropractor
  • Norwich, CT
  • NPI 1518086164
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770005142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 JEWEL LN",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068123136",
            "telephone_number": "203-648-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 JEWEL LANE",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "06812",
            "telephone_number": "203-648-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBELLE",
        "first_name": "JUSTIN",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Marie Cervone, BCBA
• Sandra Marion Chester
• Chiropractic Life and Wellness Center, LLC
• Brandon T Chorney, D.C.
• Connecticut Dental Arts
• Cusack Applied Behavior Analysis
• Dave James ND Licensed Naturopathic Physician PLLC
• Taylor Debartolo
• Renee Derosa, MD
• Emily Ding

• Chiropractor in New Fairfield, CT
• Providers in New Fairfield, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.