CORNERSTONE CHIROPRACTIC III LLC – Chiropractor, NPI 1619611217

CORNERSTONE CHIROPRACTIC III LLC is a healthcare provider. based in Prosper, Texas. specializing in Chiropractor. The NPI Number for CORNERSTONE CHIROPRACTIC III LLC is 1619611217

Main info

Organization
Name
CORNERSTONE CHIROPRACTIC III LLC
NPI
1619611217
Phone
(214) 383-9170
Address
780 Ascot Ct
Authorized Official
DEMETRIUS ANDERSON OWNER / CLINIC DIRECTOR DC
Enumeration Date
21 April 2022
Last Update Date
21 April 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for CORNERSTONE CHIROPRACTIC III LLC

  • 780 Ascot Ct

    Prosper, TX 750781449

    Phone: (214) 383-9170

    Type: Location

  • 2617 SENTINEL WAY STE 200

    MELISSA, TX 754542809

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20220902001785OClinic/Group PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75078)

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Reviews

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Frequently asked questions

Can I use this page to confirm CORNERSTONE CHIROPRACTIC III LLC's NPI?
Yes. CORNERSTONE CHIROPRACTIC III LLC is listed with NPI 1619611217 in the public NPI dataset.
Is CORNERSTONE CHIROPRACTIC III LLC still practicing?
CORNERSTONE CHIROPRACTIC III LLC is currently listed as active in the public NPI registry.
What is CORNERSTONE CHIROPRACTIC III LLC best known for clinically?
Directory data describes CORNERSTONE CHIROPRACTIC III LLC with Chiropractor. Clinical services aligned with this taxonomy classification.
Does CORNERSTONE CHIROPRACTIC III LLC list a practice location?
Patients near Prosper, Texas may find CORNERSTONE CHIROPRACTIC III LLC in results; validate coverage separately.
Is the information about CORNERSTONE CHIROPRACTIC III LLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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