Active NPI
Bryce Jonathan Staker, D.C.
- Chiropractor
- Geneva, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 501 Lark St
Geneva, IL 60134-2526 - Phone
- (630) 232-6616
- Fax
- (630) 232-6681
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
501 Lark St
Geneva, IL 60134-2526
Mailing address
501 Lark St
P. O. Box 47
Geneva, IL 60134-2526
Phone (630) 232-6616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1615 W Main St
St Charles, IL 60174-1629
Phone (630) 513-0600
1680 Mediterranean Dr
Suite 101
Sycamore, IL 60178-3193
Phone (815) 899-6061
501 Lark St
Geneva, IL 60134-2526
Phone (630) 232-6616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010753 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Staker Chiropractic Life Center P C | Chiropractor | Current | Accepting new patients |
| Sycamore Service Corporation | Chiropractor | Current | Accepting new patients |
| St. Charles Service Corporation | Chiropractor | Current | Accepting new patients |
| Elmhurst Olympic Service Corporation | Chiropractor | Past | Accepting new patients |
| Carol Stream Service Corporation | Chiropractor | Past | Accepting new patients |
Locations
260 E Army Trail Rd
Ste D
Bartlett, IL 60103
Phone (630) 830-8600
501 Lark St
Geneva, IL 60134
Phone (630) 232-6616
1615 W Main St
St Charles, IL 60174
Phone (630) 513-0600
1680 Mediterranean Dr
Ste 101
Sycamore, IL 60178
Phone (815) 899-6061
Networks
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
Organizations & group practices 5
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.
-
- Chiropractor
- St. Charles, IL
- NPI 1093070567
-
- Chiropractor
- Geneva, IL
- NPI 1164431771
-
- Chiropractor
- Sycamore, IL
- NPI 1841493111
-
- Chiropractor
- Bartlett, IL
- NPI 1679641823
-
- Chiropractor
- Elmhurst, IL
- NPI 1174696959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013926534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 LARK ST",
"address_2": "P. O. BOX 47",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342526",
"telephone_number": "630-232-6616",
"fax_number": "630-232-6681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 LARK ST",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342526",
"telephone_number": "630-232-6616",
"fax_number": "630-232-6681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAKER",
"first_name": "BRYCE",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.