Active NPI
Stacey Lynn Adams, D.C.
- Chiropractor
- San Jose, CA
National Provider Identifier
1184763799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 28450
- Practice address
- 5710 Cahalan Ave
Building # 1
San Jose, CA 95123-3010 - Phone
- (408) 578-5920
- Fax
- (408) 578-5060
- NPI assigned
- Feb 6, 2007
- Last updated
- Sep 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 28450 | CA | Primary |
Addresses
Primary practice location
5710 Cahalan Ave
Building # 1
San Jose, CA 95123-3010
Mailing address
5710 Cahalan Avenue
Building # 1
San Jose, CA 95123
Phone (408) 578-5920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140613000347 | CA | Practitioner - Chiropractic | 4587888573 | Practice locations: San Jose, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6050 Hellyer Ave
San Jose, CA 95138-1043
Phone (408) 578-5920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28450 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1184763799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5710 CAHALAN AVENUE",
"address_2": "BUILDING # 1",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95123",
"telephone_number": "408-578-5920",
"fax_number": "408-578-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5710 CAHALAN AVE",
"address_2": "BUILDING # 1",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951233010",
"telephone_number": "408-578-5920",
"fax_number": "408-578-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "STACEY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "28450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.