CHARLES T MCCRORY, DC MD, INC (NPI# 1912285487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912285487 |
| Entity Type | Organization |
| Organization Name | CHARLES T MCCRORY, DC MD, INC |
| Practice Address |
300 Harding Blvd Suite 213 Roseville CA 95678-2470 |
| Practice Telephone | 9167802800 |
| Mailing Telephone | 9167802800 |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |
| Authorized Official Name | DR. CHARLES THOMAS MCCRORY (OWNER) |
| Authorized Official Telephone | 9167802800 |
| Authorized Official Credential | DC, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | DC24046 | CA | Chiropractic Providers |
| Y | 208D00000X | General Practice | A066088 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
300 HARDING BLVD SUITE 213 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678-2470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710096409 | Diane Jackson | Marriage & Family Therapist | 300 Harding Blvd, Suite 109, Roseville, CA 95678-2470 | 2006-08-29 |
| 1528509064 | Travel Well Corporation | Preventive Medicine | 300 Harding Blvd, Ste 103, Roseville, CA 95678-2471 | 2017-03-16 |
| 1093250185 | Kayle Anne Torres | Marriage & Family Therapist | 300 Harding Blvd, Suite 103c, Roseville, CA 95678-2471 | 2016-12-27 |
| 1891194411 | Marlon Morgan | Counselor | 300 Harding Blvd, Ste # 206, Roseville, CA 95678-2470 | 2014-08-19 |
| 1417256470 | Terra Colbert | Massage Therapist | 300 Harding Blvd, Suite 213, Roseville, CA 95678-2470 | 2011-03-16 |
| 1578864203 | Patricia Latham Bach | Counselor | 300 Harding Blvd, Suite 203/204 K, Roseville, CA 95678-2470 | 2010-11-11 |
| 1497987150 | John Fielder | Psychologist | 300 Harding Blvd, Suite 118, Roseville, CA 95678-2470 | 2009-08-13 |
| 1588812267 | Kaellen Grace Lamonte | Counselor | 300 Harding Blvd, Ste 116, Roseville, CA 95678-2472 | 2008-09-05 |
| 1013102557 | Renae A Schieckoff | Student in an Organized Health Care Education/Training Program | 300 Harding Blvd, Suite 108, Roseville, CA 95678-2470 | 2007-09-07 |
| 1952596645 | Keri Lyn Turner | Psychologist | 300 Harding Blvd, Suite 108, Roseville, CA 95678-2470 | 2007-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| Find all providers in zip 95678 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083984629 | William Michael Borris | General Practice | 1907 Douglas Blvd, Roseville, CA 95661-3808 | 2012-01-12 |
| 1447434154 | Sanjeev Batra | General Practice | 901 Sunrise Ave., Suite B-11, Roseville, CA 95661-4560 | 2007-12-18 |
| 1932325792 | Dawn M Hayes | General Practice | 1907 Douglas Blvd Ste 70, Roseville, CA 95661-3808 | 2007-04-18 |
| 1477616514 | Paul F Navarro | General Practice | 18815 E 10 Mile Rd, Roseville, MI 48066-3931 | 2006-12-19 |
| 1457326480 | Robert S Taylor | General Practice | 2550 Douglas Blvd, Suite 160, Roseville, CA 95661-3996 | 2006-02-22 |
| 1235127077 | John Theodore Golden | General Practice | 25990 Kelly Rd, Suite 4, Roseville, MI 48066-4483 | 2005-10-06 |
| 1841571544 | Mohammad Sunbulli | General Practice | 18263 E 10 Mile Rd, Suite D, Roseville, MI 48066-5805 | 2011-09-08 |
| 1659601797 | Paul F Navarro D O P C | General Practice | 18815 E 10 Mile Rd, Roseville, MI 48066-3931 | 2010-01-13 |
| 1972702033 | Darla Jo Mabery | General Practice | 1158 Cirby Way, Suite B, Roseville, CA 95661-4478 | 2007-07-17 |
| 1942404348 | John T. Golden, M.d. | General Practice | 25990 Kelly Rd, Suite 4, Roseville, MI 48066-4483 | 2007-06-12 |
| Find all providers in ROSEVILLE | ||||
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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.