Active NPI
Stephanie Depoy, DC
- Chiropractor
- Winamac, IN
National Provider Identifier
1295032035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001839A
- Practice address
- 116 E Pearl St
Winamac, IN 46996-1311 - Phone
- (574) 946-4113
- Fax
- (574) 946-4552
- NPI assigned
- Feb 14, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 08001839A | IN | Primary |
Addresses
Primary practice location
116 E Pearl St
Winamac, IN 46996-1311
Mailing address
PO Box 250
Winamac, IN 46996-0250
Phone (574) 946-4113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110322000036 | IN | Practitioner - Chiropractic | 2769665280 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Goble Heal Chiropractic PC
Practice addresses (Care Compare)
800 Main St
Rochester, IN 46975-1543
Phone (574) 223-5557
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001839A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goble Heal Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
800 Main St
Rochester, IN 46975
Phone (574) 223-5557
116 E Pearl St
Winamac, IN 46996
Phone (574) 946-4113
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.
-
- Chiropractor
- Winamac, IN
- NPI 1649288689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297641600000",
"number": "1295032035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250",
"city": "WINAMAC",
"state": "IN",
"postal_code": "469960250",
"telephone_number": "574-946-4113",
"fax_number": "574-946-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 E PEARL ST",
"city": "WINAMAC",
"state": "IN",
"postal_code": "469961311",
"telephone_number": "574-946-4113",
"fax_number": "574-946-4552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPOY",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-14",
"last_updated": "2011-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001839A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winamac, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.