Active NPI
Craig Allen Stover
- Chiropractor
- Cumming, GA
National Provider Identifier
1710926019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR007408
- Practice address
- 530 Tribble Gap Rd
Cumming, GA 30040-2226 - Phone
- (678) 513-1450
- Fax
- (678) 513-6120
- NPI assigned
- Jun 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 | CHIR007408 | GA | Primary |
Addresses
Primary practice location
530 Tribble Gap Rd
Cumming, GA 30040-2226
Mailing address
PO Box 2997
Cumming, GA 30028-6513
Phone (678) 513-1450
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1710926019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2997",
"city": "CUMMING",
"state": "GA",
"postal_code": "300286513",
"telephone_number": "678-513-1450",
"fax_number": "678-513-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 TRIBBLE GAP RD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402226",
"telephone_number": "678-513-1450",
"fax_number": "678-513-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVER",
"first_name": "CRAIG",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR007408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.