Correa Chiropractic & Wellness Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28470 Issued in CA

Legal business name

CORREA CHIROPRACTIC & WELLNESS CENTER, INC.

Practice address

777 Pismo St
San Luis Obispo, CA 93401-3949

Phone

(805) 674-0848

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joel Correa, D.C.

Title

President

Phone

(805) 674-0848

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1932397619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 PISMO ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013949",
            "telephone_number": "805-674-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 PISMO ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013949",
            "telephone_number": "805-674-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORREA CHIROPRACTIC & WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-674-0848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kianah Corey
• Randy Dean Cork, M.D.
• Aquila Rose Corley
• Christina Marie Cornejo-Felix
• Allison Randall Cornelius
• Corrections and Rehabilitation-Headquarters
• Corrections and Rehabilitation-Headquarters
• Michael L Corrigan, MD
• Jesus Cortes Juarez
• James D Coryell, M.D.

• All providers in San Luis Obispo, CA
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.