Individual provider Active NPI

Shenita T. Staggers, D.C.

  • Chiropractor
  • Sun City West, AZ
National Provider Identifier
1174769236
Registry record updated Sep 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8406 Issued in AZ
Practice address
13603 W Camino del Sol Ste E
Sun City West, AZ 85375-4483
Phone
(623) 584-1726
NPI assigned
Dec 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002399A IN
Chiropractor 111N00000X 8406 AZ Primary

Addresses

Primary practice location

13603 W Camino del Sol Ste E
Sun City West, AZ 85375-4483

Mailing address

13603 W Camino del Sol Ste E
Sun City West, AZ 85375-4483
Phone (623) 584-1726

Other identifiers 1

IdentifierTypeStateIssuer
259520AOtherINMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819008176 AZ Practitioner - Chiropractic 7315002136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrity Advanced MedicalGroup PAC ID 2365882958, 3 clinicians

Practice addresses (Care Compare)

13603 W Camino del Sol
Suite E
Sun City West, AZ 85375-4483
Phone (623) 584-1726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Advanced Medical CurrentSince Mar 20, 2024 Accepting new patients
Integrity Family Wellness Chiropractor CurrentSince Jul 1, 2015 Accepting new patients

Locations

13603 W Camino del Sol
Ste E
Sun City West, AZ 85375
Phone (219) 256-9750

Organizations & group practices 2

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": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472860800000",
    "number": "1174769236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13603 W CAMINO DEL SOL STE E",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754483",
            "telephone_number": "623-584-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13603 W CAMINO DEL SOL STE E",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754483",
            "telephone_number": "623-584-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGGERS",
        "first_name": "SHENITA",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-19",
        "last_updated": "2016-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002399A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "259520A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2016; 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.