Individual provider Active NPI

Jason Dean Stephenson, D.C.

  • Chiropractor
  • Hartselle, AL
National Provider Identifier
1225079742
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2083 Issued in AL
Practice address
807 Rhodes St NW
Hartselle, AL 35640-4436
Phone
(256) 773-1113
Fax
(256) 751-1772
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2083 AL Primary

Addresses

Primary practice location

807 Rhodes St NW
Hartselle, AL 35640-4436

Mailing address

PO Box 1773
Hartselle, AL 35640-8773
Phone (256) 773-1113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000479 AL Practitioner - Chiropractic 6608862727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

807 Rhodes St NW
Hartselle, AL 35640-4436
Phone (256) 773-1113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2083ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephenson Chiropractic & Wellness Center P C Chiropractor CurrentSince Jan 9, 2006 Accepting new patients

Locations

807 Rhodes St NW
Hartselle, AL 35640
Phone (256) 773-1113

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1225079742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1773",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356408773",
            "telephone_number": "256-773-1113",
            "fax_number": "256-751-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 RHODES ST NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404436",
            "telephone_number": "256-773-1113",
            "fax_number": "256-751-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "JASON",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartselle, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.