Individual provider Active NPI

Corinne Solla Bender, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1891704367
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5019 Issued in AZ
Practice address
1601 E Bell Rd
Suite a-10
Phoenix, AZ 85022-2895
Phone
(602) 404-2909
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5019 AZ Primary

Addresses

Primary practice location

1601 E Bell Rd
Suite a-10
Phoenix, AZ 85022-2895

Mailing address

1601 E Bell Rd
Suite a-10
Phoenix, AZ 85022-2895
Phone (602) 404-2909

Other identifiers 1

IdentifierTypeStateIssuer
441535MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109000338 AZ Practitioner - Chiropractic 5395930960 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5019AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Wellness Center PLLC CurrentSince Feb 1, 2023 Accepting new patients
Phoenix Lab & Ancillary Services Past Accepting new patients

Locations

702 E Bell Rd
Ste 1121
Phoenix, AZ 85022
Phone (602) 603-2282

702 E Bell Rd
Ste 112
Phoenix, AZ 85022
Phone (602) 493-9180

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1891704367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E BELL RD",
            "address_2": "SUITE A-10",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222895",
            "telephone_number": "602-404-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E BELL RD",
            "address_2": "SUITE A-10",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222895",
            "telephone_number": "602-404-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "CORINNE",
        "middle_name": "SOLLA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441535",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.