Craig Louis Stephenson, D C

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

2944 Issued in MI

Practice address

21518 Elizabeth St
Saint Clair Shores, MI 48080-1804

Phone

(586) 775-3778

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003945155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21518 ELIZABETH ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801804",
            "telephone_number": "586-775-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21518 ELIZABETH ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801804",
            "telephone_number": "586-775-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "CRAIG",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "MI",
            "license": "2944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950F35373",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Christopher Stepaniuk, BSC.PHARMACY
• Stephen I. Field, M.D., P.C.
• Jacqueline Stephens
• Leo Patrick Stephens, MD
• Renee A Stephens, PHARMD
• Sterling Medical Care, P.C
• Asha Monique Stevens
• Lorri Jean Stevens, LMSW, CAADC
• Elizabeth Stewart
• Desanka Stipic-Petrovic, M.D.

• Internist Chiropractor in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Internist Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.