Stewart Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

23381 Issued in CA

Legal business name

STEWART CHIROPRACTIC CORP

Practice address

1420 W Kettleman LN #K-1
Lodi, CA 95242

Phone

(209) 368-0619

Fax

(209) 334-6779

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Nicole Spurr

Title

Office Manager

Phone

(209) 368-0619

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin L Stewart, D.C

  • Chiropractor
  • Lodi, CA
  • NPI 1538246186
  Medicare reassignment NPD

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1497814511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W KETTLEMAN LN STE K1",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424559",
            "telephone_number": "209-368-0619",
            "fax_number": "209-334-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W KETTLEMAN LN #K-1",
            "city": "LODI",
            "state": "CA",
            "postal_code": "95242",
            "telephone_number": "209-368-0619",
            "fax_number": "209-334-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "SPURR",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-368-0619"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Spring, RD
• Betty Ann Stanhope
• Stanislaus County
• Stephen Cheung DDS
• Michelle Stevahn
• Kevin L Stewart, D.C
• Shanae Stiles, AA PSYCHOLOGY
• Janus Marie Stock, RN
• Stockton Primary Care
• Treva Sue Strain, LCSW

• Chiropractor in Lodi, CA
• Providers in Lodi, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.