Organization Active NPI

Stansberry Chiropractic Clinic, Inc.

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1194970897
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH004678 Issued in FL
Legal business name
STANSBERRY CHIROPRACTIC CLINIC, INC.
Practice address
501 NW 16TH Ave
Gainesville, FL 32601-4202
Phone
(352) 372-9587
Fax
(352) 335-3721
NPI assigned
Nov 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Dr. Terry W. Stansberry, DC
Title
President
Phone
(352) 372-9587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH004678 FL Primary

Addresses

Primary practice location

501 NW 16TH Ave
Gainesville, FL 32601-4202

Mailing address

501 NW 16TH Ave
Gainesville, FL 32601-4202
Phone (352) 372-9587

National Provider Directory

National Provider Directory

Locations

501 NW 16th Ave
Gainesville, FL 32601
Phone (352) 372-9587

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1194970897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NW 16TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014202",
            "telephone_number": "352-372-9587",
            "fax_number": "352-335-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW 16TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014202",
            "telephone_number": "352-372-9587",
            "fax_number": "352-335-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANSBERRY CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "STANSBERRY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-372-9587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH004678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.