Organization Active NPI

Stout Family Chiropractic, P.a.

  • Chiropractor
  • Temple Terrace, FL
National Provider Identifier
1073855086
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9983 Issued in FL
Legal business name
STOUT FAMILY CHIROPRACTIC, P.A.
Practice address
10956 N 56TH St
201
Temple Terrace, FL 33617-3008
Phone
(813) 701-7272
Fax
(813) 501-1081
NPI assigned
Mar 18, 2013
Last updated
Dec 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Dr. Adam Stout, D.C.NPI 1417246836
Title
President
Phone
(813) 787-6764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH10219 FL
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH9983 FL Primary

Addresses

Primary practice location

10956 N 56TH St
201
Temple Terrace, FL 33617-3008

Mailing address

PO Box 290285
Tampa, FL 33687-0285
Phone (813) 701-7272

Other identifiers 1

IdentifierTypeStateIssuer
015449400MedicaidFL

National Provider Directory

National Provider Directory

Locations

10956 N 56th St
Ste 201
Temple Terrace, FL 33617
Phone (813) 701-7272

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1073855086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290285",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336870285",
            "telephone_number": "813-701-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10956 N 56TH ST",
            "address_2": "201",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173008",
            "telephone_number": "813-701-7272",
            "fax_number": "813-501-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOUT FAMILY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-787-6764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10219",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015449400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.