Organization Active NPI

Stevens Chiropractic and Wellness Center

  • Nutrition Chiropractor
  • Durham, NC
National Provider Identifier
1235158494
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
3049 Issued in NC
Legal business name
STEVENS CHIROPRACTIC AND WELLNESS CENTER
Practice address
1802 Martin Luther King Pkwy
Suite 107
Durham, NC 27707-3586
Phone
(919) 401-5061
Fax
(919) 401-8253
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joshua Alexis Stevend, D.C.
Title
Partner
Phone
(919) 401-5061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 3049 NC Primary

Addresses

Primary practice location

1802 Martin Luther King Pkwy
Suite 107
Durham, NC 27707-3586

Mailing address

1802 Martin Luther King Pkwy
Suite 107
Durham, NC 27707-3586
Phone (919) 401-5061

Other identifiers 1

IdentifierTypeStateIssuer
014H9OtherNCBLUE CROSS/BLUE SHIELD

Other names 1

  • The Chiropractic Connection Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235158494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 MARTIN LUTHER KING PKWY",
            "address_2": "SUITE 107",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073586",
            "telephone_number": "919-401-5061",
            "fax_number": "919-401-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 MARTIN LUTHER KING PKWY",
            "address_2": "SUITE 107",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073586",
            "telephone_number": "919-401-5061",
            "fax_number": "919-401-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVEND",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "919-401-5061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "NC",
            "license": "3049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "014H9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chiropractic Connection",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.