Individual provider Active NPI

Stacey L Rodgers, DC

  • Chiropractor
  • Conroe, TX
National Provider Identifier
1275503187
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8856 Issued in TX
Practice address
2253 C North Loop 336 W
Conroe, TX 77304-3630
Phone
(936) 441-9990
Fax
(936) 441-9991
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8856 TX Primary

Addresses

Primary practice location

2253 C North Loop 336 W
Conroe, TX 77304-3630

Mailing address

3303 W Davis St
Conroe, TX 77304-1862
Phone (936) 441-9990

Other identifiers 1

IdentifierTypeStateIssuer
172876801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000229 TX Practitioner - Chiropractic 1951364868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rodgers Stein Chiropractic, P.a.Group PAC ID 2062475973, 4 clinicians

Practice addresses (Care Compare)

3303 W Davis St
Conroe, TX 77034-3630
Phone (936) 441-9990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8856TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rodgers Stein Chiropractic - Huntsv Chiropractor Current Accepting new patients
Rodgers Stein Chiropractic, P.a. Chiropractor CurrentSince Feb 23, 2004 Accepting new patients

Locations

2253 N Loop 336 W
Ste C
Conroe, TX 77304
Phone (936) 441-9990

3303 W Davis St
Conroe, TX 77304
Phone (936) 441-9990

152 Col Etheredge Blvd
Ste 405
Huntsville, TX 77340
Phone (936) 400-5550

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1275503187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041862",
            "telephone_number": "936-441-9990",
            "fax_number": "936-441-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 C NORTH LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043630",
            "telephone_number": "936-441-9990",
            "fax_number": "936-441-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "STACEY",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172876801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.