Individual provider Active NPI

Aaron L Stephen, D.C.

  • Chiropractor
  • Gun Barrel City, TX
National Provider Identifier
1154466837
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10529 Issued in TX
Practice address
605 W Main St
Suite B
Gun Barrel City, TX 75156-5437
Phone
(903) 887-3612
Fax
(903) 887-5466
NPI assigned
Feb 21, 2007
Last updated
Jun 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10529 TX Primary

Addresses

Primary practice location

605 W Main St
Suite B
Gun Barrel City, TX 75156-5437

Mailing address

605 W Main St
Suite B
Gun Barrel City, TX 75156-5437
Phone (903) 887-3612

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070823000930 TX Practitioner - Chiropractic 8820180672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A-Team Chiros, PLLCGroup PAC ID 9739271578, 2 clinicians

Practice addresses (Care Compare)

605 W Main St B
Lakeway Chiropractic
Gun Barrel City, TX 75156-5508
Phone (903) 887-3612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10529TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
A-Team Chiros, PLLC Chiropractor CurrentSince Apr 12, 2007 Accepting new patients

Locations

605 W Main St
Ste B
Gun Barrel City, TX 75156
Phone (903) 887-3612

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1154466837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W MAIN ST",
            "address_2": "SUITE B",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751565437",
            "telephone_number": "903-887-3612",
            "fax_number": "903-887-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W MAIN ST",
            "address_2": "SUITE B",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751565437",
            "telephone_number": "903-887-3612",
            "fax_number": "903-887-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHEN",
        "first_name": "AARON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gun Barrel City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.