Active NPI
Craig Lee Sharp III, D.C.
- Chiropractor
- Modesto, CA
National Provider Identifier
1336145242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15381
- Practice address
- 1800 Tully Rd
Ste D
Modesto, CA 95350-2923 - Phone
- (209) 577-4767
- Fax
- (209) 577-4815
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15381 | CA | Primary |
Addresses
Primary practice location
1800 Tully Rd
Ste D
Modesto, CA 95350-2923
Mailing address
1800 Tully Rd
Ste D
Modesto, CA 95350-2923
Phone (209) 577-4767
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336145242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 TULLY RD",
"address_2": "STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953502923",
"telephone_number": "209-577-4767",
"fax_number": "209-577-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 TULLY RD",
"address_2": "STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953502923",
"telephone_number": "209-577-4767",
"fax_number": "209-577-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "CRAIG",
"middle_name": "LEE",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "15381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.