Edward Donald Stanislawski, D.C., C.S.C.S.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-30539 Issued in CA

Practice address

17609 Ventura Blvd Ste. LL07
Encino, CA 91316-5134

Phone

(818) 783-4085

Fax

(818) 783-4065

NPI assigned

Feb 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Body Dynamix Chiropractic and Performance

  • Chiropractor
  • Encino, CA
  • NPI 1619145331
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1336317064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE. LL07",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165134",
            "telephone_number": "818-783-4085",
            "fax_number": "818-783-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE. LL07",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165134",
            "telephone_number": "818-783-4085",
            "fax_number": "818-783-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANISLAWSKI",
        "first_name": "EDWARD",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "D.C., C.S.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Frankel Stahl, L.M.F.T.
• Janice Stallings
• Daniel Stanescu, PTA
• Erin Marisa Stanford, MA, OTR/L
• Shannon Nicole Stanford, BCBA
• Stanley J. Leiken, MD Inc.
• Stanley M Kopelow M D Inc
• Starbright Medical Clinic Inc
• Ariella Stark
• Lisa M Statner, RD

• Chiropractor in Encino, CA
• Providers in Encino, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.