John P Stacks Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

D.C.00378 Issued in TN

Practice address

2850 Stage Village CV
Ste 1
Bartlett, TN 38134-4682

Phone

(901) 377-8600

Fax

(901) 377-5426

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1124049952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 STAGE VILLAGE CV STE 1",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344682",
            "telephone_number": "901-377-8600",
            "fax_number": "901-377-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 STAGE VILLAGE CV",
            "address_2": "STE 1",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344682",
            "telephone_number": "901-377-8600",
            "fax_number": "901-377-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACKS",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "D.C.00378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia A Spencer, FNP-C
• Erica Yvette Spencer, REGISTERED NURSE
• St Francis Bartlett
• St. John'S Community Services
• Jennifer Stachowski
• Jana Stader, PHARMD
• Staffco of Tennessee, LLC.
• Adero Kaia Stallworth, PHARMD
• Doretha Staples, RKT
• Starlight Home Care LLC

• Chiropractor in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.