Individual provider Active NPI

Heather Aleece Stone-Credeur, D.C.

  • Chiropractor
  • Denver, CO
National Provider Identifier
1609087998
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5388 Issued in CO
Practice address
4155 E Jewell Ave
Ste 1018
Denver, CO 80222-4504
Phone
(303) 302-0930
Fax
(303) 302-0933
NPI assigned
May 25, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5388 CO Primary

Addresses

Primary practice location

4155 E Jewell Ave
Ste 1018
Denver, CO 80222-4504

Mailing address

4155 E Jewell Ave
Ste 1018
Denver, CO 80222-4504
Phone (303) 302-0930

Other names 1

  • Heather Aleece Credeur Other name

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

OrganizationSpecialtyStatusNew patients
Stone-Credeur Family Chiropractic, PC Chiropractor CurrentSince Mar 17, 2004 Accepting new patients

Locations

4155 E Jewell Ave
Ste 1018
Denver, CO 80222
Phone (303) 302-0930

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609087998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 E JEWELL AVE",
            "address_2": "STE 1018",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224504",
            "telephone_number": "303-302-0930",
            "fax_number": "303-302-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 E JEWELL AVE",
            "address_2": "STE 1018",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224504",
            "telephone_number": "303-302-0930",
            "fax_number": "303-302-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE-CREDEUR",
        "first_name": "HEATHER",
        "middle_name": "ALEECE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "CREDEUR",
            "middle_name": "ALEECE",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.