Organization Active NPI

Stafford Chiropractic, Inc.

  • Chiropractor
  • Erie, PA
National Provider Identifier
1124086756
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STAFFORD CHIROPRACTIC, INC.
Practice address
3939 W Ridge Rd # a-205
Erie, PA 16506-1879
Phone
(814) 838-8877
Fax
(814) 838-4568
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Todd Darin Stafford, DC
Title
President
Phone
(814) 838-8877

Specialties & licenses 1

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

Addresses

Primary practice location

3939 W Ridge Rd # a-205
Erie, PA 16506-1879

Mailing address

3939 W Ridge Rd # a-205
Erie, PA 16506-1879
Phone (814) 838-8877

Other names 1

  • Village West Chiropractic, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

3939 W Ridge Rd
Ste A205
Erie, PA 16506
Phone (724) 877-0468

3939 W Ridge Rd
#A205
Erie, PA 16506
Phone (814) 738-1240

3330 W 26th St
Ste 11
Erie, PA 16506
Phone (814) 838-8877

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1124086756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 W RIDGE RD # A-205",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061879",
            "telephone_number": "814-838-8877",
            "fax_number": "814-838-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 W RIDGE RD # A-205",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061879",
            "telephone_number": "814-838-8877",
            "fax_number": "814-838-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "DARIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-838-8877",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village West Chiropractic, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Village West Chiropractic, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.