Individual provider Active NPI

Zachary Winfield Stalnaker, D.C., B.S.B.A.

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1215250774
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9924 Issued in FL
Practice address
3546 Saint Johns Bluff Rd S Unit 204
Jacksonville, FL 32224-2716
Phone
(904) 996-2243
NPI assigned
Mar 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9924 FL Primary

Addresses

Primary practice location

3546 Saint Johns Bluff Rd S Unit 204
Jacksonville, FL 32224-2716

Mailing address

3546 Saint Johns Bluff Rd S
Suite 204
Jacksonville, FL 32224-2713
Phone (904) 996-2243

Other identifiers 1

IdentifierTypeStateIssuer
FR066ZOtherFLMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120104000240 FL Practitioner - Chiropractic 1557537180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9924FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1215250774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 SAINT JOHNS BLUFF RD S",
            "address_2": "SUITE 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242713",
            "telephone_number": "904-996-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3546 SAINT JOHNS BLUFF RD S UNIT 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242716",
            "telephone_number": "904-996-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALNAKER",
        "first_name": "ZACHARY",
        "middle_name": "WINFIELD",
        "name_prefix": "Dr.",
        "credential": "D.C., B.S.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FR066Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.