Stacey Renee Dodd, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1939 Issued in NM

Practice address

1825 W 21St St
Clovis, NM 88101-4023

Phone

(575) 935-7335

NPI assigned

Jan 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Hazen Chiropractic CenterGroup PAC ID 2264698091, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Hazen Chiropractic Center

  • Exclusive Provider Organization
  • Clovis, NM
  • NPI 1225308885

  NM

  Medicare reassignment Care Compare group NPD
• Summit Imaging LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Clovis, NM
  • NPI 1497855381
  NPD

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1013288232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 W. 21ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-652-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 W 21ST ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014023",
            "telephone_number": "575-935-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "STACEY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DJ2 Junctions Inc
• Miriam Ellie Dlouhy, M.S.
• Gregory Dobbins, MSW
• Felicia A. Dobbs
• Andrew Wayne Dobry Jr., MD
• Melissa Suxanne Donohue, RN
• Dhwani Kamlesh Doshi, PT
• Lashay D Dotson
• Joy Christine Downey, CCC SLP
• Benjamin Downie, MD

• All providers in Clovis, NM
• Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.