Active NPI
Corey William Sorum, D.C.
- Chiropractor
- San Antonio, TX
National Provider Identifier
1851632764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- TX12285
- Practice address
- 13777 Judson Rd
Suite 107
San Antonio, TX 78233-4514 - Phone
- (210) 650-0940
- NPI assigned
- Mar 4, 2013
- Last updated
- Feb 20, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | TX12285 | TX | Primary |
| Rehabilitation Chiropractor | 111NR0400X | TX12285 | TX |
Addresses
Primary practice location
13777 Judson Rd
Suite 107
San Antonio, TX 78233-4514
Mailing address
13777 Judson Rd
Suite 107
San Antonio, TX 78233-4514
Phone (847) 975-4645
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 |
|---|---|---|---|
| TX12285 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LSSR Management Inc | Chiropractor | Past | Accepting new patients |
| LSS Medical PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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": "1362355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1851632764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13777 JUDSON RD",
"address_2": "SUITE 107",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782334514",
"telephone_number": "847-975-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13777 JUDSON RD",
"address_2": "SUITE 107",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782334514",
"telephone_number": "210-650-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORUM",
"first_name": "COREY",
"middle_name": "WILLIAM",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-04",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "TX12285",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "TX12285",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.