Organization Active NPI

Stroud & Stroud

  • Chiropractor
  • Albemarle, NC
National Provider Identifier
1497943492
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2413 Issued in NC
Legal business name
STROUD & STROUD
Practice address
731 N 2ND St
Suite D
Albemarle, NC 28001-3362
Phone
(704) 983-3183
Fax
(704) 983-3183
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Deidra A Cole, DC
Title
Chiropractor
Phone
(704) 983-3183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2413 NC Primary

Addresses

Primary practice location

731 N 2ND St
Suite D
Albemarle, NC 28001-3362

Mailing address

731 N 2ND St
Suite D
Albemarle, NC 28001-3362
Phone (704) 983-3183

Other identifiers 2

IdentifierTypeStateIssuer
0279POtherNCBC/BS
08279PMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040623001527 NC Part B Supplier - Clinic/Group Practice 1254316060 Receives reassigned benefits from 1 practitioner
Practice locations: Albemarle, NC

National Provider Directory

National Provider Directory

Locations

731 N 2nd St
Ste D
Albemarle, NC 28001
Phone (704) 983-3183

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1497943492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 N 2ND ST",
            "address_2": "SUITE D",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013362",
            "telephone_number": "704-983-3183",
            "fax_number": "704-983-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N 2ND ST",
            "address_2": "SUITE D",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013362",
            "telephone_number": "704-983-3183",
            "fax_number": "704-983-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROUD & STROUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "DEIDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "704-983-3183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0279P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08279P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.