Active NPI
Richard Mason Stewart III, DC
- Chiropractor
- Post Falls, ID
National Provider Identifier
1144844523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1968
- Practice address
- 1643 E Tango LN Unit 157
Post Falls, ID 83854-0100 - Phone
- (208) 252-5052
- NPI assigned
- Jun 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH61168348 | WA | |
| Chiropractor | 111N00000X | 11659095-1202 | UT | |
| Sports Physician Chiropractor | 111NS0005X | 116590951202 | UT | |
| Chiropractor | 111N00000X | CHIA-1968 | ID | Primary |
Addresses
Primary practice location
1643 E Tango LN Unit 157
Post Falls, ID 83854-0100
Mailing address
1643 E Tango LN Unit 157
Post Falls, ID 83854-0100
Phone (385) 335-3416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-1968 | ID | MD | Chiropractor |
| 11659095-1202 | UT | MD | Chiropractor |
| CH61168348 | WA | MD | Chiropractor |
| 116590951202 | UT | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1144844523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1643 E TANGO LN UNIT 157",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838540100",
"telephone_number": "385-335-3416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1643 E TANGO LN UNIT 157",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838540100",
"telephone_number": "208-252-5052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "RICHARD",
"middle_name": "MASON",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-02",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH61168348",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "11659095-1202",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "UT",
"license": "116590951202",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.