Individual provider Active NPI

Robert Allen Stinson Jr., D.C.

  • Chiropractor
  • Murrells Inlet, SC
National Provider Identifier
1356685036
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC.3785 DC Issued in SC
Practice address
804 Inlet Square Dr
Unit B
Murrells Inlet, SC 29576-7874
Phone
(843) 652-5678
Fax
(843) 652-5679
NPI assigned
Nov 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC.3785 DC SC Primary

Addresses

Primary practice location

804 Inlet Square Dr
Unit B
Murrells Inlet, SC 29576-7874

Mailing address

804 Inlet Square Dr
Unit B
Murrells Inlet, SC 29576-7874
Phone (843) 652-5678

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

State licenses

LicenseStateTypeSpecialty
DC.3785 DCSCMDChiropractor
3785SCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1356685036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 INLET SQUARE DR",
            "address_2": "UNIT B",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767874",
            "telephone_number": "843-652-5678",
            "fax_number": "843-652-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 INLET SQUARE DR",
            "address_2": "UNIT B",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767874",
            "telephone_number": "843-652-5678",
            "fax_number": "843-652-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSON",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-19",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "DC.3785 DC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.