Individual provider Active NPI

Stephen J Steller, D.C.

  • Chiropractor
  • Dunedin, FL
National Provider Identifier
1114086501
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7198 Issued in FL
Practice address
1499 Main St
Dunedin, FL 34698-4612
Phone
(727) 734-7611
Fax
(727) 736-1124
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7198 FL Primary

Addresses

Primary practice location

1499 Main St
Dunedin, FL 34698-4612

Mailing address

515 Missouri Ave N
Largo, FL 33770-1534
Phone (727) 587-6667

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120619000616 FL Practitioner - Chiropractic 8921145400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1995
Medicare assignment
May accept Medicare assignment
Group practices
SCC LLCGroup PAC ID 3476988213, 2 clinicians

Practice addresses (Care Compare)

1075 Main St
Dunedin, FL 34698-5226
Phone (727) 734-7611

3737 16TH St N
St Petersburg, FL 33704-1019
Phone (727) 520-1818

515 Missouri Ave N
Largo, FL 33770-1534
Phone (727) 520-1818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SCC LLC Chiropractor CurrentSince Dec 17, 2020 Accepting new patients
Steller Life Care Inc. Chiropractor PastSince Aug 18, 1997 Accepting new patients
Steller Life Care Chiropractor PastSince Aug 18, 1997 Accepting new patients
Choice Health Care, Inc. PastSince Jul 21, 2009 Accepting new patients

Locations

515 Missouri Ave N
Largo, FL 33770
Phone (727) 587-6667

3737 16th St N
St Petersburg, FL 33704
Phone (727) 520-1818

Organizations & group practices 4

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1114086501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MISSOURI AVE N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337701534",
            "telephone_number": "727-587-6667",
            "fax_number": "727-587-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 MAIN ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984612",
            "telephone_number": "727-734-7611",
            "fax_number": "727-736-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLER",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.