Active NPI
Douglas Stakes, D.C.
- Chiropractor
- Austin, TX
National Provider Identifier
1104937028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2943
- Practice address
- 7413 Old Bee Caves Rd
Austin, TX 78735-8234 - Phone
- (512) 892-2160
- Fax
- (512) 892-7309
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 483 | LA | |
| Chiropractor | 111N00000X | 2312 | OK | |
| Chiropractor | 111N00000X | 2943 | TX | Primary |
Addresses
Primary practice location
7413 Old Bee Caves Rd
Austin, TX 78735-8234
Mailing address
9609 Streamside Dr
Austin, TX 78736-2411
Phone (512) 892-2160
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6001179 | Other | TX | BCBS |
| 350005894 | Other | TX | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | contact@stakeschiropractic.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7413 Old Bee Caves Rd
Austin, TX 78735-8234
Phone (512) 892-2160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2312 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stakes Chiropractic Center | Chiropractor | Current | Accepting new patients |
Locations
7413 Old Bee Caves Rd
Austin, TX 78735
Phone (512) 288-7100
4604 S Lamar Blvd
Ste E101
Austin, TX 78745
Phone (512) 892-2160
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.
-
- Chiropractor
- Austin, TX
- NPI 1134395452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1104937028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9609 STREAMSIDE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787362411",
"telephone_number": "512-892-2160",
"fax_number": "512-892-7309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7413 OLD BEE CAVES RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787358234",
"telephone_number": "512-892-2160",
"fax_number": "512-892-7309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAKES",
"first_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "483",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "2312",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "2943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "6001179",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350005894",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "contact@stakeschiropractic.com",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7413 Old Bee Caves Rd",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787358234",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.