Individual provider Active NPI

Stewart R Chapman, DC

  • Chiropractor
  • Wichita Falls, TX
National Provider Identifier
1265489579
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6050 Issued in TX
Practice address
2934 Kemp Blvd
Wichita Falls, TX 76308-1017
Phone
(940) 322-2400
Fax
(940) 322-1930
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6050 TX Primary

Addresses

Primary practice location

2934 Kemp Blvd
Wichita Falls, TX 76308-1017

Mailing address

1818 W Gore Blvd
Lawton, OK 73501-3615
Phone (940) 322-2400

Other identifiers 3

IdentifierTypeStateIssuer
0884355-03MedicaidTX
8K9540OtherTXBLUE CROSS/BLUE SHIELD-TX
8B8846OtherMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001860 TX Practitioner - Chiropractic 7810982444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Medical Group PLLCGroup PAC ID 2961761549, 3 clinicians

Practice addresses (Care Compare)

3801 Call Field Rd
Suite 300
Wichita Falls, TX 76308-2682
Phone (940) 322-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6050TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Medical Group PLLC Chiropractor CurrentSince Sep 1, 2017 Accepting new patients
Tyo Chiropractic, LLC Chiropractor CurrentSince Sep 7, 2019 Accepting new patients

Locations

1818 W Gore Blvd
Lawton, OK 73501
Phone (580) 699-5115

3801 Call Field Rd
Ste 300
Wichita Falls, TX 76308
Phone (940) 322-2400

2934 Kemp Blvd
Wichita Falls, TX 76308
Phone (940) 264-1960

Organizations & group practices 2

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1265489579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013615",
            "telephone_number": "940-322-2400",
            "fax_number": "940-322-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 KEMP BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081017",
            "telephone_number": "940-322-2400",
            "fax_number": "940-322-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "STEWART",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0884355-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD-TX",
            "identifier": "8K9540",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8B8846",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.