Stillpoint Family Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001966A Issued in IN

Legal business name

STILLPOINT FAMILY CHIROPRACTIC, INC

Practice address

9780 Lantern Rd
Suite 230
Fishers, IN 46037-4092

Phone

(317) 863-0365

Fax

(317) 222-1591

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Mary Grace Pennella, D.C.

Title

President

Phone

(317) 863-0365

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marygrace Pennella, DC

  • Chiropractor
  • Fishers, IN
  • NPI 1265551899
  Medicare reassignment NPD

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1245429711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 LANTERN RD",
            "address_2": "SUITE 230",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460374092",
            "telephone_number": "317-863-0365",
            "fax_number": "317-222-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 LANTERN RD",
            "address_2": "SUITE 230",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460374092",
            "telephone_number": "317-863-0365",
            "fax_number": "317-222-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLPOINT FAMILY CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "PENNELLA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-863-0365",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001966A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Stern, NP
• Elisa Marie Sterner, PA-C
• Larry H Stevens, MD
• Luke Stewart
• Jaron Paul Stiers
• Jada Stinson
• Tessa Mae Stombaugh, CNM
• Rachel Stone-Mamukuyomi
• Ian Stone, D.C
• Nicholas Giovanni Stone, OTR/L

• Chiropractor in Fishers, IN
• Providers in Fishers, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.