Organization Active NPI

Stalnaker Wellness LLC

  • Chiropractor
  • Atlantic Beach, FL
National Provider Identifier
1124301577
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9924 Issued in FL
Legal business name
STALNAKER WELLNESS LLC
Practice address
1127 Hidden Cove Cir S
Atlantic Beach, FL 32233-6915
Phone
(850) 502-9437
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Dr. Zachary Winfied Stalnaker, D.C., B.S.B.A
Title
Manager/Owner
Phone
(850) 502-9437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9924 FL Primary

Addresses

Primary practice location

1127 Hidden Cove Cir S
Atlantic Beach, FL 32233-6915

Mailing address

1127 Hidden Cove Cir S
Atlantic Beach, FL 32233-6915
Phone (850) 502-9437

National Provider Directory

National Provider Directory

Locations

525 3rd St N
Ste 105
Jacksonville Beach, FL 32250
Phone (904) 567-8193

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1124301577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 HIDDEN COVE CIR S",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322336915",
            "telephone_number": "850-502-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 HIDDEN COVE CIR S",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322336915",
            "telephone_number": "850-502-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALNAKER WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "STALNAKER",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "WINFIED",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "850-502-9437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., B.S.B.A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.