Sulltrop Family Chiropractic PC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

DC5182 Issued in AZ

Legal business name

SULLTROP FAMILY CHIROPRACTIC PC

Practice address

409 W Goodwin St
Prescott, AZ 86303

Phone

(928) 717-9958

Fax

(928) 771-3792

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Donald Craig Sulltrop, DC

Title

President

Phone

(928) 717-1353

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1730330986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W GOODWIN ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W GOODWIN ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86303",
            "telephone_number": "928-717-9958",
            "fax_number": "928-771-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLTROP FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "SULLTROP",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-717-1353",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "AZ",
            "license": "DC5182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baldwin S. Stutts III, M.D.
• Rebecca Suarez, LAMFT
• Michael Edward Sughrue, M.D.
• Karen Lynn Sullivan
• Matthew Ryan Sullivan, OD
• Donald Craig Sulltrop, DC
• Julia Lynn Summers, LPC-12236
• Summit Behavioral Health of Az, LLC
• Sun Hospice Inc
• Sunny Lee Nutrition, LLC

• Nutrition Chiropractor in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Nutrition Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.