Individual provider Active NPI

Joseph L Stankus, D.C.

  • Chiropractor
  • Willoughby, OH
National Provider Identifier
1154517183
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3779 Issued in OH
Practice address
37131 Euclid Ave
Willoughby, OH 44094-5611
Phone
(440) 951-7246
Fax
(440) 946-3066
NPI assigned
Sep 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3779 OH Primary

Addresses

Primary practice location

37131 Euclid Ave
Willoughby, OH 44094-5611

Mailing address

37131 Euclid Ave
Willoughby, OH 44094-5611
Phone (440) 951-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121024000257 OH Practitioner - Chiropractic 9133139637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buckeye Chiropractic Clinic IncGroup PAC ID 0143230649, 2 clinicians

Practice addresses (Care Compare)

37131 Euclid Ave
Willoughby, OH 44094-5611
Phone (440) 951-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3779OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Buckeye Chiropractic Clinic Inc Chiropractor CurrentSince Aug 26, 2012 Accepting new patients

Locations

37131 Euclid Ave
Willoughby, OH 44094
Phone (440) 946-8809

6025 Commerce Cir
Ste 2
Willoughby, OH 44094
Phone (440) 585-2750

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1154517183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37131 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440945611",
            "telephone_number": "440-951-7246",
            "fax_number": "440-946-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37131 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440945611",
            "telephone_number": "440-951-7246",
            "fax_number": "440-946-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANKUS",
        "first_name": "JOSEPH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.