Individual provider Active NPI

Stan R Stubbs, DC

  • Chiropractor
  • Pelham, AL
National Provider Identifier
1013977362
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1652 Issued in AL
Practice address
2969 Pelham Pkwy
Pelham, AL 35124-1795
Phone
(205) 663-5444
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1652 AL Primary

Addresses

Primary practice location

2969 Pelham Pkwy
Pelham, AL 35124-1795

Mailing address

2969 Pelham Pkwy
Pelham, AL 35124-1795
Phone (205) 663-5444

Other identifiers 2

IdentifierTypeStateIssuer
4410119OtherALUNITED HEALTH CARE
51527499OtherALBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629000587 AL Practitioner - Chiropractic 3476597220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2969 Pelham Pkwy
Pelham, AL 35124-1795
Phone (205) 663-5444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1652ALMDOccupational Therapist

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Shelby Family Chiropractic LLC Chiropractor CurrentSince May 2, 2005 Accepting new patients
Dr. Roderick C. White, LLC Chiropractor Past Accepting new patients

Locations

224 1st St N
Ste 225
Alabaster, AL 35007
Phone (205) 620-5025

2969 Pelham Pkwy
Pelham, AL 35124
Phone (205) 663-5444

Networks

  • MS PPO C-SNP
  • MS PPO D-SNP
  • FL PPO
  • MS PPO

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1013977362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2969 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241795",
            "telephone_number": "205-663-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2969 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241795",
            "telephone_number": "205-663-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "STAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4410119",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51527499",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.