Individual provider Active NPI

Stanley H Jones

  • Chiropractor
  • South Lake Tahoe, CA
National Provider Identifier
1083913743
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11455 Issued in CA
Practice address
3200 US Highway 50
Unit 5
South Lake Tahoe, CA 96150-9226
Phone
(530) 577-2225
Fax
(530) 577-0812
NPI assigned
Mar 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11455 CA Primary

Addresses

Primary practice location

3200 US Highway 50
Unit 5
South Lake Tahoe, CA 96150-9226

Mailing address

3200 US Highway 50
Unit 5
South Lake Tahoe, CA 96150-9226
Phone (530) 577-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11455CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1083913743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 US HIGHWAY 50",
            "address_2": "UNIT 5",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961509226",
            "telephone_number": "530-577-2225",
            "fax_number": "530-577-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 US HIGHWAY 50",
            "address_2": "UNIT 5",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961509226",
            "telephone_number": "530-577-2225",
            "fax_number": "530-577-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "STANLEY",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "11455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.