Organization Active NPI

Staci L. Price, DC, PA

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1114227576
Registry record updated Aug 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7711 Issued in FL
Legal business name
STACI L. PRICE, DC, PA
Practice address
1539 S Highland Ave
Clearwater, FL 33756-2393
Phone
(727) 585-8644
Fax
(727) 449-1981
NPI assigned
Nov 1, 2010
Last updated
Aug 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2013

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

Authorized official

Name
Dr. Staci L. Price-McCarthy, DCNPI 1710987599
Title
Owner/President
Phone
(727) 585-8644

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7711 FL Primary

Addresses

Primary practice location

1539 S Highland Ave
Clearwater, FL 33756-2393

Mailing address

1539 S Highland Ave
Clearwater, FL 33756-2393
Phone (727) 585-8644

Other identifiers 2

IdentifierTypeStateIssuer
381195600MedicaidFL
1710987599OtherFLINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101202000991 FL Part B Supplier - Clinic/Group Practice 0547457541 Receives reassigned benefits from 1 practitioner
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory

Locations

1539 S Highland Ave
Clearwater, FL 33756
Phone (727) 449-1877

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": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375574400000",
    "number": "1114227576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 S HIGHLAND AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562393",
            "telephone_number": "727-585-8644",
            "fax_number": "727-449-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 S HIGHLAND AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562393",
            "telephone_number": "727-585-8644",
            "fax_number": "727-449-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACI L. PRICE, DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2013-08-04",
        "status": "A",
        "authorized_official_last_name": "PRICE-MCCARTHY",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "727-585-8644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381195600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1710987599",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2013; 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.