Corey Taylor Ebbin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003453 Issued in WA

Practice address

12811 SE 38TH Street
Bellevue, WA 98006-1326

Phone

(425) 378-1800

Fax

(425) 746-1587

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Vitality Chiropractic Center Inc

  • Rehabilitation Clinic/Center
  • Bellevue, WA
  • NPI 1497914170
  NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821158932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12811 SE 38TH STREET",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061326",
            "telephone_number": "425-378-1800",
            "fax_number": "425-746-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12811 SE 38TH STREET",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061326",
            "telephone_number": "425-378-1800",
            "fax_number": "425-746-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBIN",
        "first_name": "COREY",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eating Recovery Center of Washington
• Eating Recovery Center of Washington
• Eating Recovery Center of Washington
• John Marshall Eaton, MD
• Andrew Ebalo, MSAOM, E.A.M.P.
• Angela Ebeler-Jones, O.D.
• Leah Ebensteiner
• Renee Ebia, DPT
• Kaye Edds, P.T.
• Carol Eddy, PT

• Chiropractor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Chiropractor in Washington

• 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.