Active NPI
Charles Patrick Craig, DC
- Chiropractor
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12355
- Practice address
- 2017 Drew St
Clearwater, FL 33765-3116 - Phone
- (727) 797-7090
- NPI assigned
- Nov 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12355 | FL | Primary |
Addresses
Primary practice location
2017 Drew St
Clearwater, FL 33765-3116
Mailing address
1514 10TH Ave N Apt a
St Petersburg, FL 33705-1114
Phone (570) 401-0884
Other practice location 1
2477 Stickney Point Rd Ste 202A
Sarasota, FL 34231-6850
Phone (941) 923-2567
Other practice location 2
5255 Office Park Blvd Ste 107
Bradenton, FL 34203-3443
Phone (570) 401-0884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12355 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarasota Chiropractic & Wellness Center | Chiropractor | Current | Accepting new patients |
| Back and Better Injury Center LLC | Chiropractor | Current | Accepting new patients |
Locations
3908 9th Ave W
Bradenton, FL 34205
Phone (570) 401-0884
5255 Office Park Blvd
Ste 107
Bradenton, FL 34203
Phone (941) 301-7332
2477 Stickney Point Rd
Ste 202A
Sarasota, FL 34231
Phone (813) 923-2567
Organizations & group practices 2
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.
-
- Chiropractor
- Bradenton, FL
- NPI 1235835596
-
- Chiropractor
- Sarasota, FL
- NPI 1346134426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1013421916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 10TH AVE N APT A",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051114",
"telephone_number": "570-401-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 DREW ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337653116",
"telephone_number": "727-797-7090"
}
],
"practiceLocations": [
{
"address_1": "2477 Stickney Point Rd Ste 202A",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342316850",
"country_code": "US",
"telephone_number": "941-923-2567",
"fax_number": "941-925-4334",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5255 Office Park Blvd Ste 107",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342033443",
"country_code": "US",
"telephone_number": "570-401-0884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAIG",
"first_name": "CHARLES",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-30",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "12355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.