Active NPI
Stephen W Edwards, D.C.
- Chiropractor
- Redding, CA
National Provider Identifier
1376574590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12161
- Practice address
- 2962 Smith River Dr
Redding, CA 96002-5219 - Phone
- (530) 221-7193
- Fax
- (530) 221-7193
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 12161 | CA | Primary |
Addresses
Primary practice location
2962 Smith River Dr
Redding, CA 96002-5219
Mailing address
2962 Smith River Dr
Redding, CA 96002-5219
Phone (530) 221-7193
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kremer Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Red Bluff, CA
- NPI 1609809037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1376574590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2962 SMITH RIVER DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960025219",
"telephone_number": "530-221-7193",
"fax_number": "530-221-7193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2962 SMITH RIVER DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960025219",
"telephone_number": "530-221-7193",
"fax_number": "530-221-7193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "STEPHEN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "12161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.