Individual provider Active NPI

James Robert Stallbaumer, D.C.

  • Chiropractor
  • Hiawatha, KS
National Provider Identifier
1043664667
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0105788 Issued in KS
Practice address
206 S 1St St
Hiawatha, KS 66434-2618
Phone
(785) 742-7164
NPI assigned
Apr 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0105788 KS Primary

Addresses

Primary practice location

206 S 1St St
Hiawatha, KS 66434-2618

Mailing address

1018 160TH Rd
Seneca, KS 66538-2176
Phone (785) 294-0884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160719002056 KS Practitioner - Chiropractic 8224320932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stallbaumer Family Chiropractic LLCGroup PAC ID 0244522951, 2 clinicians

Practice addresses (Care Compare)

206 S 1St St
Hiawatha, KS 66434-2618
Phone (785) 742-7164

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
81.83
Promoting interoperability
99
Improvement activities
40
Cost
74.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0105788KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stallbaumer Family Chiropractic LLC Chiropractor CurrentSince Jun 6, 2016 Accepting new patients

Locations

206 S 1st St
Hiawatha, KS 66434
Phone (785) 742-7164

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1043664667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 160TH RD",
            "city": "SENECA",
            "state": "KS",
            "postal_code": "665382176",
            "telephone_number": "785-294-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S 1ST ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342618",
            "telephone_number": "785-742-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLBAUMER",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.