Corina McClary Wild, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08622 Issued in TX

Practice address

309 Derick Dr
Royse City, TX 75189

NPI assigned

Sep 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Terrell Chiropractic and Wellness Center, Inc

  • Chiropractor
  • Terrell, TX
  • NPI 1841765773
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1982187381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 DERICK DR",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "75189",
            "telephone_number": "214-789-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 DERICK DR",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "75189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Derick Dr",
            "address_purpose": "LOCATION",
            "city": "Royse City",
            "state": "TX",
            "postal_code": "751897518",
            "country_code": "US",
            "telephone_number": "214-789-0549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILD",
        "first_name": "CORINA",
        "middle_name": "MCCLARY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "08622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness With NP Shan, PLLC
• Jennifer Renee Wheat, SLP
• Tammie Sue White, RMT
• Shacoria Whitemon
• Terri Lee Wigington, RN, MSN
• Cortney E Wilhelm
• Brittany Williams
• Kord Taylor Williams
• Michelle Munn Williams, O.D.
• Kaitlyn Marie Willingham, M.S., CCC-SLP

• Chiropractor in Royse City, TX
• Providers in Royse City, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.