Equilibrium Chiropractic PLLC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EQUILIBRIUM CHIROPRACTIC PLLC.

Practice address

5006 High Point Rd Ste C
Greensboro, NC 27407-6235

Phone

(336) 870-2522

NPI assigned

Dec 1, 2021

Last updated

Dec 1, 2021By 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. Lee Tyler Stafford, DCNPI 1275019317

Title

Owner/Ceo

Phone

(336) 870-2522

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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.

• Lee Tyler Stafford, DC

  • Chiropractor
  • Greensboro, NC
  • NPI 1275019317
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1205594744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931B S MAIN ST # 145",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847439",
            "telephone_number": "336-870-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 HIGH POINT RD STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076235",
            "telephone_number": "336-870-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM CHIROPRACTIC PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "336-870-2522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eric J. Sadler, DDS and Associates PA
• Michele Erickson, PT
• Graham Henry Erlacher Jr., M.D.
• Gard Eva Erlandsson, OT, CHT
• Marina L Ervin, MS, LPC, NCC, BCPCC

• Chiropractor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.