Corinne Ethel Dadivas

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC29415 Issued in CA

Legal business name

CORINNE ETHEL DADIVAS

Practice address

1501 Westcliff Dr
Suite 303
Newport Beach, CA 92660-5517

Phone

(949) 764-9102

Fax

(949) 764-1743

NPI assigned

Jun 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Corinne Ethel Dadivas, DC

Title

Chiropractor/Owner

Phone

(714) 686-9704

Specialties & licenses 1

Addresses

Other names 1

• Newport Beach Wellness Former legal business name

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1871942334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WESTCLIFF DR",
            "address_2": "SUITE 303",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605517",
            "telephone_number": "949-764-9102",
            "fax_number": "949-764-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WESTCLIFF DR",
            "address_2": "SUITE 303",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605517",
            "telephone_number": "949-764-9102",
            "fax_number": "949-764-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINNE ETHEL DADIVAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "DADIVAS",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_middle_name": "ETHEL",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "714-686-9704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Beach Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tamara Ledford Cordia, PA-C
• Vivian E Cordoves, RPH
• Bridget Cordray, PA-C
• Core Performance Physical Therapy, Inc.
• Aleyna Evonne Coria
• Corinne Sugihara, M.D.
• Corktree Holdings, LLC
• Edward Cornejo, PT, MPT, CFMT
• Melanie Ann Cornejo, P.T.
• William J Cornejo

• Chiropractor in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.