MR. CORY LANE GARDNER D.C. NPI 1124060082

NPI Information

  • NPI: 1124060082
  • Provider Name: MR. CORY LANE GARDNER, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 301 ORCHARD ST
    ELKINS, WV
    ZIP 26241
  • Phone: (304) 636-2411

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NPI Details

MR. Cory Lane Gardner, D.C. is a chiropractor in Elkins, WV. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MR. Cory Lane Gardner, D.C. NPI is 1124060082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 ORCHARD ST
ELKINS, WV
ZIP 26241-338
Phone: (304) 636-2411
Fax: (304) 636-2411

The enumeration date for this NPI number is 6/12/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor803WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U99857MEDICARE UPIN
2P00209889OTHERWEST VIRGINIARAILROAD MEDICARE
34132991MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
43810000836MEDICAIDWEST VIRGINIA
5WV00803OTHERWEST VIRGINIATHE HEALTH PLAN
611351236OTHERWEST VIRGINIACIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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