Chiropractic of San Angelo, PC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

5195 Issued in TX

Legal business name

CHIROPRACTIC OF SAN ANGELO, PC

Practice address

3184 Executive Dr
San Angelo, TX 76904-6802

Phone

(325) 949-8688

Fax

(325) 944-2235

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Darci Jill Stotts, D.C.NPI 1851319453

Title

President/Owner

Phone

(325) 949-8688

Specialties & licenses 1

Addresses

Other names 1

• stotts chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darci Jill Stotts, D.C

  • Sports Physician Chiropractor
  • San Angelo, TX
  • NPI 1851319453
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174680607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3184 EXECUTIVE DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046802",
            "telephone_number": "325-949-8688",
            "fax_number": "325-944-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 EXECUTIVE DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046802",
            "telephone_number": "325-949-8688",
            "fax_number": "325-944-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC OF SAN ANGELO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STOTTS",
        "authorized_official_first_name": "DARCI",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "325-949-8688",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "5195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "stotts chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yo Rong Chen, PHD, ATC, CSCS
• Raj Cheruku, MD
• Hubert Childress Jr., CI
• Rangarao Chilukuri, MD
• Cornelius W. Chinn, MD
• Douglas Franklin Chitsey, D.D.S.
• Kendra Ann Chowning, DC
• Christodoulos S Christodoulou, M.D.
• Lisamaria Marlena Cinco-Gonzales, SLP
• City of San Angelo

• Sports Physician Chiropractor in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Sports Physician Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.