Active NPI
Stroud Chiropractic PLLC
- Chiropractor
- Archdale, NC
National Provider Identifier
1821045071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1450
- 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
- Last updated
- Dec 31, 2014
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1450 | NC | Primary |
Addresses
Primary practice location
3204 Archdale Rd
Archdale, NC 27263-2710
Mailing address
3204 Archdale Rd
Archdale, NC 27263-2710
Phone (336) 434-2107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3204 Archdale Rd
Archdale, NC 27263
Phone (336) 434-2107
141A S Main St
Kernersville, NC 27284
Phone (336) 993-7800
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- NPI 1366411720
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- NPI 1730128976
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- NPI 1205909009
-
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- NPI 1467615815
-
- Chiropractor
- Winston Salem, NC
- NPI 1619124286
-
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NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
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- Thomas Gregory Smigla, DPT
- Trent Richard Steffen, BS PHARMACY
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Sources for this page
- 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.