Donald Craig Sulltrop, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

22179 Issued in CA

Practice address

1590 Willow Creek Rd
Prescott, AZ 86301

Phone

(928) 227-1899

NPI assigned

Dec 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1991

Medicare assignment

May accept Medicare assignment

Group practices

Wojciak Enterprises IncGroup PAC ID 2860594496, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wojciak Enterprises Inc

  • Nutrition Chiropractor
  • Prescott, AZ
  • NPI 1184765398
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1902081672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011164",
            "telephone_number": "928-227-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-227-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLTROP",
        "first_name": "DONALD",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-31",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "22179",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5182",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "860982594",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Suarez, LAMFT
• Michael Edward Sughrue, M.D.
• Karen Lynn Sullivan
• Matthew Ryan Sullivan, OD
• Sulltrop Family Chiropractic PC
• Julia Lynn Summers, LPC-12236
• Summit Behavioral Health of Az, LLC
• Sun Hospice Inc
• Sunny Lee Nutrition, LLC
• Susan B Kullman LTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.