Individual provider Active NPI

Sydney Stanul, DC

  • Orthopedic Chiropractor
  • Jenison, MI
National Provider Identifier
1265926752
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
2301010654 Issued in MI
Practice address
1427 Chevelle Dr
Jenison, MI 49428-9565
Phone
(616) 581-4678
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 2301010654 MI Primary

Addresses

Primary practice location

1427 Chevelle Dr
Jenison, MI 49428-9565

Mailing address

1427 Chevelle Dr
Jenison, MI 49428-9565
Phone (616) 581-4678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230315001173 MI Practitioner - Chiropractic 2466826425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albion Family Chiropractic PLLCGroup PAC ID 2062664907, 6 clinicians

Practice addresses (Care Compare)

300 Austin Ave
Albion, MI 49224-1207
Phone (517) 629-5505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010654MIMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan'S Family Chiropractic- Albion, PLLC Chiropractor CurrentSince Mar 13, 2023 Accepting new patients

Locations

300 Austin Ave
Albion, MI 49224
Phone (517) 629-5505

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1265926752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 CHEVELLE DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289565",
            "telephone_number": "616-581-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 CHEVELLE DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289565",
            "telephone_number": "616-581-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANUL",
        "first_name": "SYDNEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MI",
            "license": "2301010654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.