DR. SPENCER PHILLIP CORRONA DC
NPI 1073492104
Chiropractor in Fort Wayne, IN

Active since September 02, 2025
12812 COLDWATER RD STE 101, FORT WAYNE, IN 46845(260) 445-8389(877) 919-8689 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Spencer Phillip Corrona Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SPENCER PHILLIP CORRONA DC (NPI 1073492104) is an individual chiropractor in Fort Wayne, Indiana, licensed in Indiana (08003545A) and active in the NPI registry since September 2025. He is a graduate of Logan College Of Chiropractic (2025).

NPPES Registry Identity

NPI1073492104
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SPENCER PHILLIP CORRONACredential: DC
Location Address12812 COLDWATER RD STE 101Fort Wayne, IN 46845-9516
Mailing Address12812 Coldwater Rd Ste 101Fort Wayne, IN 46845-9516 · (260) 445-8389 · Fax (877) 919-8689
Fax(877) 919-8689
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2025
Enumeration DateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
NPI 1073492104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IN · 08003545A
Definition
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.
12812 COLDWATER RD STE 101, Fort Wayne, IN 46845

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Spencer Phillip Corrona Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032606363
PECOS Enrollment IDI20251013000612

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
12812 COLDWATER RD STE 101
FORT WAYNE, IN 46845
Acupuncturist
12812 COLDWATER RD STE 101
FORT WAYNE, IN 46845

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer Corrona's NPI number?

The NPI number for Spencer Corrona is 1073492104. It was assigned to this individual provider in the NPPES registry on September 2, 2025.

Where is Spencer Corrona located?

Spencer Corrona practices at 12812 Coldwater Rd Ste 101, Fort Wayne, IN 46845. The listed phone number is (260) 445-8389.

What is Spencer Corrona's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Spencer Corrona enrolled in Medicare?

Yes. Spencer Corrona is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Spencer Corrona was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.