Organization Active NPI

Stephanie M Janiak

Doing business as Wingspan Chiropractic

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1184807315
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10559 Issued in TX
Legal business name
STEPHANIE M JANIAK
Doing business as
Wingspan Chiropractic
Practice address
5800 Lovell Ave
Ste 164
Fort Worth, TX 76107-5028
Phone
(817) 423-2600
Fax
(817) 423-2601
NPI assigned
Dec 11, 2007
Last updated
Apr 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Dr. Stephanie Marie Janiak, DCNPI 1710156179
Title
Owner/Chiropractor
Phone
(817) 423-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10559 TX Primary

Addresses

Primary practice location

5800 Lovell Ave
Ste 164
Fort Worth, TX 76107-5028

Mailing address

PO Box 101134
Fort Worth, TX 76185-1134
Phone (817) 423-2600

Other names 1

  • Wingspan Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1184807315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101134",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761851134",
            "telephone_number": "817-423-2600",
            "fax_number": "817-423-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 LOVELL AVE",
            "address_2": "STE 164",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075028",
            "telephone_number": "817-423-2600",
            "fax_number": "817-423-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE M JANIAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "JANIAK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "817-423-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wingspan Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.