Active NPI
Joseph Lee Corsentino, D.C.
- Chiropractor
- Greeley, CO
National Provider Identifier
1811065758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4133
- Practice address
- 2723 W 11TH Street Rd
Greeley, CO 80634-5407 - Phone
- (970) 346-8833
- Fax
- (970) 346-8833
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 4133 | CO | Primary |
Addresses
Primary practice location
2723 W 11TH Street Rd
Greeley, CO 80634-5407
Mailing address
3515 39TH Ave
Evans, CO 80620-9124
Phone (970) 506-1107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071016000105 | CO | Practitioner - Chiropractic | 6608962055 | Practice locations: Ft Morgan, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
209 State St
Suite 2
Fort Morgan, CO 80701-2115
Phone (970) 867-5599
2723 W 11TH St Rd
Greeley, CO 80634-5407
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4133 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811065758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 39TH AVE",
"city": "EVANS",
"state": "CO",
"postal_code": "806209124",
"telephone_number": "970-506-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2723 W 11TH STREET RD",
"city": "GREELEY",
"state": "CO",
"postal_code": "806345407",
"telephone_number": "970-346-8833",
"fax_number": "970-346-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSENTINO",
"first_name": "JOSEPH",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "4133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.