Individual provider Active NPI

H. Glenn Corkins, D.C., PH.D., N.M.D.

  • Chiropractor
  • Greenacres, FL
National Provider Identifier
1861406050
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7829 Issued in FL
Practice address
6637 Forest Hill Blvd
Greenacres, FL 33413-3354
Phone
(561) 433-4184
Fax
(561) 433-1284
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7829 FL Primary
Nutrition Chiropractor 111NN1001X CH7829 FL
Radiology Chiropractor 111NR0200X CH7829 FL

Addresses

Primary practice location

6637 Forest Hill Blvd
Greenacres, FL 33413-3354

Mailing address

PO Box 542587
Greenacres, FL 33454-2587
Phone (561) 807-7763

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CH7829FLMDRadiology Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1861406050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542587",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334542587",
            "telephone_number": "561-807-7763",
            "fax_number": "561-433-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6637 FOREST HILL BLVD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334133354",
            "telephone_number": "561-433-4184",
            "fax_number": "561-433-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORKINS",
        "first_name": "H.",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.C., PH.D., N.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7829",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH7829",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "FL",
            "license": "CH7829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.