Stadnik and Associates

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

STADNIK AND ASSOCIATES

Practice address

124 4TH Ave S Ste 110
Kent, WA 98032-5874

Phone

(253) 867-2655

Fax

(253) 867-5229

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Stacy James Stadnik, D.C.

Title

Managing Member

Phone

(253) 867-2655

Specialties & licenses 1

Addresses

Other names 1

• vitality spine and rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Kill, D.C

  • Chiropractor
  • Kirkland, WA
  • NPI 1326412560
  Medicare reassignment NPD
• Sukhmeet Mand, DC

  • Chiropractor
  • Kennewick, WA
  • NPI 1760242986
  Medicare reassignment NPD
• Dilsharan Singh Gill, DC

  • Chiropractor
  • Auburn, WA
  • NPI 1548127996
  Medicare reassignment

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1083916753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 4TH AVE S STE 110",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325874",
            "telephone_number": "253-867-2655",
            "fax_number": "253-867-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 4TH AVE S STE 110",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325874",
            "telephone_number": "253-867-2655",
            "fax_number": "253-867-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STADNIK AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "STADNIK",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "253-867-2655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vitality spine and rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kellie Srock, OTR/L
• Suze St Louis, LMP
• Rachael Lynn St. Clair, LMHC
• John Andrew St. Laurent Sr., L.M.P
• Judith E. Stacey-Robar, ARNP
• Mason Michael Stahley, DC
• Kevin Staley
• Staloco House LLC
• Ellie Stannard
• Star Lake Adult Family Home

• Chiropractor in Kent, WA
• Providers in Kent, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.