Individual provider Active NPI

Stephen Bowen Haas, DC

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1174566475
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006329 Issued in FL
Practice address
308 Holly St
Pensacola, FL 32514-3140
Phone
(850) 380-3269
Fax
(850) 995-5713
NPI assigned
Jun 14, 2006
Last updated
Aug 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0006329 FL Primary
Chiropractor 111N00000X 1296 AL

Addresses

Primary practice location

308 Holly St
Pensacola, FL 32514-3140

Mailing address

308 Holly St
Pensacola, FL 32514-3140
Phone (850) 380-3269

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1296ALMDChiropractor
CH0006329FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Northwest Florida LLC Chiropractor PastSince Apr 11, 2007 Accepting new patients
Cozy Couch Counseling LLC PastSince Mar 30, 2025 Accepting new patients
East Hill Medical Group Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1174566475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 HOLLY ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325143140",
            "telephone_number": "850-380-3269",
            "fax_number": "850-995-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 HOLLY ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325143140",
            "telephone_number": "850-380-3269",
            "fax_number": "850-995-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "STEPHEN",
        "middle_name": "BOWEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006329",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.