Individual provider Active NPI

Stephen Love, DC

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1306099353
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9604 Issued in FL
Practice address
2390 Griffin Road
Lakeland, FL 33841-4182
Phone
(863) 859-0335
Fax
(863) 859-0501
NPI assigned
Nov 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9604 FL Primary

Addresses

Primary practice location

2390 Griffin Road
Lakeland, FL 33841-4182

Mailing address

5227 US Highway 98 S
Lakeland, FL 33812
Phone (863) 709-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015000967 FL Practitioner - Chiropractic 9931392420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Center of Lakeland South IncGroup PAC ID 6709946353, 3 clinicians

Practice addresses (Care Compare)

5227 Hwy 98 S
Lakeland, FL 33812-4291

5227 US Hwy 98 S
Lakeland, FL 33812-4291
Phone (863) 709-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9604FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Center of Lakeland South, Inc Chiropractor CurrentSince Jun 8, 2011 Accepting new patients
Demetra Bennett Arnp LLC Past Accepting new patients
Munday Chiropractic Clinic P a Chiropractor PastSince Apr 15, 2002 Accepting new patients

Locations

2390 Griffin Rd
Lakeland, FL 33810
Phone (863) 859-0335

5227 US Highway 98 S
Lakeland, FL 33812
Phone (863) 709-1600

Organizations & group practices 3

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": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1306099353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5227 US HIGHWAY 98 S",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33812",
            "telephone_number": "863-709-1600",
            "fax_number": "863-709-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 GRIFFIN ROAD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338414182",
            "telephone_number": "863-859-0335",
            "fax_number": "863-859-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "STEPHEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.