Organization Active NPI

Stephens Chiropractic

  • Chiropractor
  • Abilene, KS
National Provider Identifier
1003111865
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STEPHENS CHIROPRACTIC
Practice address
311 N Cedar St
Abilene, KS 67410-2622
Phone
(785) 200-6106
NPI assigned
Jan 25, 2011
Last updated
Jan 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Dr. Damien Michael Stephens, D.C.NPI 1538464425
Title
Member
Phone
(785) 200-6106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

311 N Cedar St
Abilene, KS 67410-2622

Mailing address

311 N Cedar St
Abilene, KS 67410-2622
Phone (785) 200-6106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110615000357 KS Part B Supplier - Clinic/Group Practice 3072790294 Receives reassigned benefits from 1 practitioner
Practice locations: Abilene, KS

National Provider Directory

National Provider Directory

Locations

311 N Cedar St
Abilene, KS 67410
Phone (785) 200-6106

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1003111865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N CEDAR ST",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674102622",
            "telephone_number": "785-200-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N CEDAR ST",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674102622",
            "telephone_number": "785-200-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "DAMIEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "785-200-6106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.