Individual provider Active NPI

Bryan Curtus Staker, D.C.

  • Chiropractor
  • Chambersburg, PA
National Provider Identifier
1205068426
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010105 Issued in PA
Practice address
761 5TH Ave
# F
Chambersburg, PA 17201-4210
Phone
(717) 263-6101
NPI assigned
Aug 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010105 PA Primary

Addresses

Primary practice location

761 5TH Ave
# F
Chambersburg, PA 17201-4210

Mailing address

761 5TH Ave
# F
Chambersburg, PA 17201-4210
Phone (717) 263-6101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100120000347 PA Practitioner - Chiropractic 9335281922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

409 Phoenix Dr
Chambersburg, PA 17201-4534
Phone (717) 263-6101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
5TH Avenue Chiropractic Chiropractor CurrentSince Nov 2, 2009 Accepting new patients

Locations

409 Phoenix Dr
Chambersburg, PA 17201
Phone (717) 241-4441

761 5th Ave
Ste F
Chambersburg, PA 17201
Phone (717) 263-6101

Organizations & group practices 1

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": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1205068426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 5TH AVE",
            "address_2": "# F",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014210",
            "telephone_number": "717-263-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 5TH AVE",
            "address_2": "# F",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014210",
            "telephone_number": "717-263-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAKER",
        "first_name": "BRYAN",
        "middle_name": "CURTUS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.