Elder Chiropractic Back & Neck Pain, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

21311 Issued in CA

Legal business name

ELDER CHIROPRACTIC BACK & NECK PAIN, INC.

Practice address

5417 Florin Rd
Sacramento, CA 95823-2105

Phone

(916) 428-4466

Fax

(916) 428-5322

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Craig Lee Elder, D.C.NPI 1053597260

Title

President

Phone

(916) 428-4466

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Craig Lee Elder, D.C.

  • Chiropractor
  • Sacramento, CA
  • NPI 1053597260
  NPD (past) Authorized official

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1740466952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5417 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232105",
            "telephone_number": "916-428-4466",
            "fax_number": "916-428-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232105",
            "telephone_number": "916-428-4466",
            "fax_number": "916-428-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER CHIROPRACTIC BACK & NECK PAIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-428-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "21311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Elam
• Tasherra Jittuan Elam
• Sarah Elamad
• Shruti Elanthiraiyan
• Athena Abegail Bautista Elaog, BCBA
• Elder Creek Dental
• Craig Lee Elder, D.C.
• Joshua Weimer Elder, MD MPH
• Natalie Mira Elder, MD
• Neil William Elder

• Chiropractor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.