John Mansfield Corneal III, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC002495L Issued in PA

Practice address

1526 Martin St
State College, PA 16803-3058

Phone

(814) 237-5559

Fax

(814) 237-4392

NPI assigned

Aug 9, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• A Journey to You...LLC

  • Professional Counselor
  • State College, PA
  • NPI 1407270234
  NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811907827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 MARTIN ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033058",
            "telephone_number": "814-237-5559",
            "fax_number": "814-237-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 MARTIN ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033058",
            "telephone_number": "814-237-5559",
            "fax_number": "814-237-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNEAL",
        "first_name": "JOHN",
        "middle_name": "MANSFIELD",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002495L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008909230002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C197006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John C. Coppes Jr., M.D.
• Michael Steven Coppola
• Marykathryn Corcoran, CRNP
• Amanda M. Cordero, PA-C
• Tyler Mark Corle, PHARMD
• Manuel Corona, PT, DPT, LAT, ATC
• Dylan Alexander Corp, PHD
• Cosmetic Dentistry Inc
• Annamarie C Costlow, PA-C
• Counseling Alternatives Group, Inc

• Chiropractor in State College, PA
• Providers in State College, PA by specialty
• Chiropractor in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.