Stroud Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1450 Issued in NC

Legal business name

STROUD CHIROPRACTIC PLLC

Practice address

3204 Archdale Rd
Archdale, NC 27263-2710

Phone

(336) 434-2107

Fax

(336) 434-2109

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Eugene Stroud Jr., DC

Title

Owner

Phone

(336) 434-2107

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 10

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

• Sydney Stroud Lassiter, DC

  • Chiropractor
  • Archdale, NC
  • NPI 1467030460
  Medicare reassignment Care Compare group NPD
• Brooke Stroud Martin, DC

  • Chiropractor
  • Archdale, NC
  • NPI 1518422419
  Medicare reassignment Care Compare group NPD
• Meredith Davis Furst, D.C.

  • Chiropractor
  • Greensboro, NC
  • NPI 1720217656
  Medicare reassignment NPD
• Brad J Creehan, D.C.

  • Chiropractor
  • Cary, NC
  • NPI 1447208137
  NPD (past)
• Russell D Edgar, D.C.

  • Chiropractor
  • Ocean Isle Beach, NC
  • NPI 1366411720
  NPD (past)
• Craig Matthew Matteo, D.C

  • Chiropractor
  • Mebane, NC
  • NPI 1730128976
  NPD (past)
• Kevin Miles Mobley, DC

  • Chiropractor
  • Kernersville, NC
  • NPI 1205909009
  NPD (past)
• Bradley John Walter, D.C.

  • Chiropractor
  • Leland, NC
  • NPI 1467615815
  NPD (past)
• Matthew Dirk Willard, DC

  • Chiropractor
  • Winston Salem, NC
  • NPI 1619124286
  NPD (past)
• Christopher Whickcar Wilson, DC

  • Chiropractor
  • Greensboro, NC
  • NPI 1477708220
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1821045071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 ARCHDALE RD",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272632710",
            "telephone_number": "336-434-2107",
            "fax_number": "336-434-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 ARCHDALE RD",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272632710",
            "telephone_number": "336-434-2107",
            "fax_number": "336-434-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROUD CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "STROUD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-434-2107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908824",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Trent Richard Steffen, BS PHARMACY
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• Chiropractor in Archdale, NC
• Providers in Archdale, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.