Active NPI
Douglas Joe Stephenson, D.C.
- Chiropractor
- Marco Island, FL
National Provider Identifier
1245258029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH2757
- Practice address
- 991 N Collier Blvd
Marco Island, FL 34145-2773 - Phone
- (239) 394-7551
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH2757 | FL | Primary |
Addresses
Primary practice location
991 N Collier Blvd
Marco Island, FL 34145-2773
Mailing address
PO Box 2338
Marco Island, FL 34146-2338
Phone (239) 394-7551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060914000118 | FL | Practitioner - Chiropractic | 5991709420 | Practice locations: Marco Island, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245258029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2338",
"city": "MARCO ISLAND",
"state": "FL",
"postal_code": "341462338",
"telephone_number": "239-394-7551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 N COLLIER BLVD",
"city": "MARCO ISLAND",
"state": "FL",
"postal_code": "341452773",
"telephone_number": "239-394-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "DOUGLAS",
"middle_name": "JOE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH2757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marco Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.