Individual provider Active NPI

Jeffrey L Stanger, D.C.

  • Chiropractor
  • Delray Beach, FL
National Provider Identifier
1033224548
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3463 Issued in FL
Practice address
601 N Congress Ave
Suite 417
Delray Beach, FL 33445-4621
Phone
(561) 498-4300
Fax
(561) 498-4539
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH3463 FL Primary

Addresses

Primary practice location

601 N Congress Ave
Suite 417
Delray Beach, FL 33445-4621

Mailing address

601 N Congress Ave
Suite 417
Delray Beach, FL 33445-4621
Phone (561) 498-4300

Other identifiers 2

IdentifierTypeStateIssuer
051002500MedicaidFL
88586OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130227000011 FL Practitioner - Chiropractic 8628057288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health Center PAGroup PAC ID 2668547043, 4 clinicians

Practice addresses (Care Compare)

7797 N University Dr
Suite 101
Tamarac, FL 33321-6107
Phone (954) 722-6050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Center PA Chiropractor CurrentSince Sep 23, 2024 Accepting new patients

Locations

7797 N University Dr
Ste 101
Tamarac, FL 33321
Phone (954) 722-6050

Organizations & group practices 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1033224548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N CONGRESS AVE",
            "address_2": "SUITE 417",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454621",
            "telephone_number": "561-498-4300",
            "fax_number": "561-498-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N CONGRESS AVE",
            "address_2": "SUITE 417",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454621",
            "telephone_number": "561-498-4300",
            "fax_number": "561-498-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGER",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051002500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88586",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.