Craig a Stutzman Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC25811 Issued in CA

Legal business name

CRAIG A STUTZMAN CHIROPRACTIC CORPORATION

Practice address

23695 Birtcher Dr
Lake Forest, CA 92630-1782

Phone

(949) 586-8525

NPI assigned

Feb 1, 2017

Last updated

Feb 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Craig A Stutzman, DCNPI 1801910179

Title

Owner

Phone

(949) 412-9366

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Craig a Stutzman Chiropractic Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Craig a Stutzman Chiropractic Corp

  • Chiropractor
  • Laguna Niguel, CA
  • NPI 1467576744
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Allan Stutzman, D.C.

  • Chiropractor
  • Laguna Niguel, CA
  • NPI 1801910179
  Medicare reassignment NPD Authorized official
• John Maxwell Gooing, DC

  • Chiropractor
  • Lake Forest, CA
  • NPI 1235723685
  NPD

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1114465986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GEMA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926729408",
            "telephone_number": "949-412-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23695 BIRTCHER DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301782",
            "telephone_number": "949-586-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG A STUTZMAN CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "STUTZMAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-412-9366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coury & Buehler Physical Therapy, Inc. (Coury & Buehler Physical Therapy - Lake Forest)
• Coury & Buehler Physical Therapy, Inc. (Coury & Buehler Physical Therapy)
• David James Cox
• Maritza Coyazo
• Henry Cracknell
• Crest Recovery LLC (TruVida Recovery)
• Kara Cross, PH.D.
• Flavia Crovetto Hartley, APCC
• Sherilyn Crowley
• Crown Valley Hospice

• Chiropractor in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.