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Deactivated NPI 1225128945 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen R Waters , DC

Chiropractor • San Jose, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Waters has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 13, 2006
NPI Deactivation Date March 17, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Waters, DC was a registered Chiropractor practicing in San Jose, CA. Throughout an active medical career spanning 14 years, Dr. Waters provided care at the practice location at 90 E TASMAN DR until profile deactivation on 2020-03-17.

Practice Location & Contact Primary Location

Practice Address

90 E Tasman Dr

San Jose, CA 951341617

Telephone 4089446000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in San Jose, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.1 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
383 Specialists

Practicing in San Jose, CA (12100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CA 21550

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Matthew Skalski , DC

Chiropractor - Radiology

NPI 1013485911

Doctor of Chiropractic

NPI 1518057215

Doctor of Chiropractic

NPI 1568694263

Doctor of Chiropractic

NPI 1699858654

Doctor of Chiropractic

NPI 1750445847

Doctor of Chiropractic

NPI 1922198639

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 17, 2020

Record deactivated on March 17, 2020

NPI Profile Active November 01, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 01, 2011

Registered at 90 E TASMAN DR, SAN JOSE, CA 951341617 (Tel: 4089446000)

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Updated Business Mailing Address November 01, 2011

Registered at 1306 MOUNT SHASTA AVE, MILPITAS, CA 950356931

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Provider Name / Credentials Updated November 01, 2011

Recorded as STEPHEN WATERS, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2011

Chiropractor (License #21550 in CA)

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Initial NPI Registration & Enumeration October 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225128945
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: November 01, 2011
Deactivation Date: March 17, 2020

Mailing Address

1306 Mount Shasta Ave

Milpitas, CA 950356931

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.