Stoldaddy Inc.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

2913 Issued in NC

Legal business name

STOLDADDY INC.

Doing business as

Lundy Chiropractic and Rehab

Practice address

4647 Main St
Suite 6
Shallotte, NC 28470-1771

Phone

(910) 754-2225

Fax

(910) 754-2227

NPI assigned

May 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glenn James Lundy, D.C.NPI 1992756944

Title

Ceo

Phone

(910) 754-2225

Specialties & licenses 1

Addresses

Other names 1

• Lundy Chiropractic and Rehab Doing business as

Locations

Practitioners 1

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.

• Glenn James Lundy, D.C.

  • Sports Physician Chiropractor
  • Wallace, NC
  • NPI 1992756944
  NPD (past) Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821048497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 MAIN ST",
            "address_2": "SUITE 6",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284701771",
            "telephone_number": "910-754-2225",
            "fax_number": "910-754-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 MAIN ST",
            "address_2": "SUITE 6",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284701771",
            "telephone_number": "910-754-2225",
            "fax_number": "910-754-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOLDADDY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUNDY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-754-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "2913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lundy Chiropractic and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeastern United Care LLC
• Jenna Leander Spell, PHARMD
• Sarah Spell, LCSWA, LCASA
• Jacob David Spring, DPT
• Zachery Taylor Stephenson, O.D.
• Heather Shannon Stoume Stoume, MSW, LCSW, LCAS,
• Jenna Strickland, PT
• Carmen Michelle Suedmeier, RPH
• Sunshine Company Home Care LLC
• Synergy Counseling Services, LLC

• Sports Physician Chiropractor in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Sports Physician Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.