Individual provider Active NPI

Kevin J Stapleford, DC

  • Chiropractor
  • Ankeny, IA
National Provider Identifier
1023087335
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06109 Issued in IA
Practice address
629 S Ankeny Blvd
Ankeny, IA 50023-3418
Phone
(515) 964-8547
Fax
(515) 964-8563
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A06109 IA Primary

Addresses

Primary practice location

629 S Ankeny Blvd
Ankeny, IA 50023-3418

Mailing address

629 S Ankeny Blvd
Ankeny, IA 50023-3418
Phone (515) 964-8547

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420000758 IA Practitioner - Chiropractic 5193763183 Practice locations: Bondurant, IA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

85 Paine St SE
Suite C
Bondurant, IA 50035-1154
Phone (515) 681-3889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A06109IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mullin Chiropractic Past Accepting new patients
Chiropractic Associates, LLC Chiropractor PastSince Mar 25, 2008 Accepting new patients
Balanced Body Chiropractic & Wellness LLC Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1023087335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500233418",
            "telephone_number": "515-964-8547",
            "fax_number": "515-964-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500233418",
            "telephone_number": "515-964-8547",
            "fax_number": "515-964-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLEFORD",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.