Individual provider Active NPI

Charles Patrick Craig, DC

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1013421916
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12355 Issued in FL
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

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
12355FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Chiropractic & Wellness Center Chiropractor CurrentSince Jun 8, 2025 Accepting new patients
Back and Better Injury Center LLC Chiropractor CurrentSince Feb 12, 2023 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.

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.

Verify at the official NPI Registry.