Organization Active NPI

Gregory Stafford Chiropractic, Inc.

  • Chiropractor
  • Clovis, CA
National Provider Identifier
1669634937
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27867 Issued in CA
Legal business name
GREGORY STAFFORD CHIROPRACTIC, INC.
Practice address
1420 Shaw Ave Ste 103
Clovis, CA 93611-4072
Phone
(559) 298-9511
Fax
(559) 298-9571
NPI assigned
Jun 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dr. Gregory Stafford, D.C.
Title
C.E.O.
Phone
(559) 298-9511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC27867 CA Primary

Addresses

Primary practice location

1420 Shaw Ave Ste 103
Clovis, CA 93611-4072

Mailing address

1420 Shaw Ave Ste 103
Clovis, CA 93611-4072
Phone (559) 298-9511

Other names 1

  • Stafford Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1564 Shaw Ave
Clovis, CA 93611
Phone (559) 298-9511

1420 Shaw Ave
Ste 103
Clovis, CA 93611
Phone (559) 298-9511

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": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1669634937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SHAW AVE STE 103",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114072",
            "telephone_number": "559-298-9511",
            "fax_number": "559-298-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SHAW AVE STE 103",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114072",
            "telephone_number": "559-298-9511",
            "fax_number": "559-298-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY STAFFORD CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "559-298-9511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stafford Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.