Individual provider Active NPI

Erick R Corps, DC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1841439775
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9681 Issued in FL
Practice address
3401 W Waters Ave
Tampa, FL 33614-2713
Phone
(813) 935-8906
Fax
(813) 443-4628
NPI assigned
Feb 17, 2009
Last updated
Jul 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9681 FL Primary

Addresses

Primary practice location

3401 W Waters Ave
Tampa, FL 33614-2713

Mailing address

3401 W Waters Ave
Tampa, FL 33614-2713
Phone (813) 935-8906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110921000514 FL Practitioner - Chiropractic 8224209309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8001 N Dale Mabry Hwy
BLDG 301
Tampa, FL 33614
Phone (813) 935-8906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9681FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Emjn L.L.C CurrentSince Jun 12, 2011 Accepting new patients
Thomas Andrew Aguero D C P a Chiropractor PastSince Sep 15, 2006 Accepting new patients
Suzi Desai DC PLLC Chiropractor PastSince Sep 24, 2023 Accepting new patients

Locations

3401 W Waters Ave
Tampa, FL 33614
Phone (813) 932-6106

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1841439775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142713",
            "telephone_number": "813-935-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142713",
            "telephone_number": "813-935-8906",
            "fax_number": "813-443-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPS",
        "first_name": "ERICK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-17",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.