DR. GREGORY LYNN STAFFORD (NPI# 1316965940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316965940 |
| Entity Type | Individual |
| Full Name | DR. GREGORY LYNN STAFFORD |
| Credential | D.C. |
| Practice Address |
1420 Shaw Ave Ste 103 Clovis CA 93611-4072 |
| Mailing Address |
6026 N. Greenwood Ave. Clovis CA 93619 |
| Practice Telephone | 5592989511 |
| Mailing Telephone | 5593221862 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC 27867 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710085907 | Gregory L Stafford | Dentist | 623 Main St, Little Rock, AR 72201-4201 | 2006-09-20 |
| 1396751475 | Gregory Peary Stafford | Dentist | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2006-07-31 |
| 1922053164 | Gregory Lee Stafford | Physician Assistant | 1502 N Jefferson St, Attn: Jean Steele, Carrollton, MO 64633-1948 | 2006-05-24 |
| Street Address |
1420 SHAW AVE STE 103 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-4072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669634937 | Gregory Stafford Chiropractic, Inc. | Chiropractor | 1420 Shaw Ave Ste 103, Clovis, CA 93611-4072 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275098642 | Amy Winchester | Chiropractor | 13540 E Bullard Ave, Clovis, CA 93619-9458 | 2019-02-09 |
| 1427408350 | Power Chiropractic Health A K&l Baune PC | Chiropractor | 275 N Clovis Ave, 127, Clovis, CA 93612-0336 | 2016-06-22 |
| 1346623782 | Karl Baune | Chiropractor | 224 Caesar Ave, Clovis, CA 93612-0897 | 2015-07-02 |
| 1952710212 | John Henderson | Chiropractor | 1624 N Avignon Ln, Clovis, CA 93619-3798 | 2014-08-11 |
| 1285070656 | Matthew Vinson Chiropractic A Professional Corporation | Chiropractor | 1305 N Willow Ave Ste 160, Clovis, CA 93619-4866 | 2013-05-13 |
| 1689928947 | Thomas Henrique | Chiropractor | 200 W Bullard Ave Ste E4, Clovis, CA 93612-7611 | 2012-11-07 |
| 1750605325 | Alexandra Nicole Iared | Chiropractor | 325 Clovis Ave Ste 107, Clovis, CA 93612-1151 | 2010-03-25 |
| 1417289869 | Travis Wilson Ryan | Chiropractor | 2147 Herndon Ave Ste 104, Clovis, CA 93611-6305 | 2010-02-10 |
| 1396989398 | Caleb Barnett | Chiropractor | 205 Innsdale Ter, Clovis, NM 88101-3061 | 2009-04-22 |
| 1891949848 | James L. Knudsen | Chiropractor | 96 Shaw Ave, Suite 215a, Clovis, CA 93612 | 2008-11-04 |
| Find all providers in CLOVIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.