Active NPI
Corynne Nixon, DC
- Chiropractor
- Grandview, MO
National Provider Identifier
1831560523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2015033426
- Practice address
- 11902 Blue Ridge Ext
Grandview, MO 64030-1100 - Phone
- (913) 579-1154
- NPI assigned
- Oct 7, 2015
- Last updated
- Oct 7, 2015
- 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 | 2015033426 | MO | Primary |
Addresses
Primary practice location
11902 Blue Ridge Ext
Grandview, MO 64030-1100
Mailing address
4140 Cambridge St
Kansas City, KS 66103-3319
Phone (463) 263-4721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015033426 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1831560523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 CAMBRIDGE ST",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661033319",
"telephone_number": "463-263-4721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11902 BLUE RIDGE EXT",
"city": "GRANDVIEW",
"state": "MO",
"postal_code": "640301100",
"telephone_number": "913-579-1154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "CORYNNE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-07",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2015033426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grandview, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.