Corey Michael Vollink, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1831 Issued in ID

Practice address

1401 W Biztown Loop
Hayden, ID 83835

Phone

(208) 762-3660

Fax

(208) 762-3600

NPI assigned

Oct 30, 2012

Sex

Male

Sole proprietor

No

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 ID

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• CV Chiropractic PLLC

  • Chiropractor
  • Coeur D Alene, ID
  • NPI 1124625488
  Medicare reassignment NPD Authorized official
• Tessendorf Family Chiropractic, LLC

  • Chiropractor
  • Hayden, ID
  • NPI 1548681521
  Medicare reassignment NPD

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1992059901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 HENRY ST",
            "address_2": "SUITE A",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414891",
            "telephone_number": "231-766-8072",
            "fax_number": "231-737-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W BIZTOWN LOOP",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "83835",
            "telephone_number": "208-762-3660",
            "fax_number": "208-762-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLINK",
        "first_name": "COREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-30",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Ann Venera, MPT
• Flynn J Vick, DC
• Cristina Villarreal, MS, CCC-SLP
• Ronald Ray Vogel, DPM
• Camille L. Volking, NP
• Katherine Wacholz
• Ellen Wait, RN MSN
• Wal-Mart Stores Inc
• Wal-Mart Stores Inc
• Walgreen Co

• Chiropractor in Hayden, ID
• Providers in Hayden, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.