Active NPI
Stangenwald ENT PA
- Chiropractor
- Arlington, TX
National Provider Identifier
1376711614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- STANGENWALD ENT PA
- Practice address
- 401 SW Plaza
Suite 103
Arlington, TX 76016 - Phone
- (817) 561-4907
- Fax
- (817) 561-6740
- NPI assigned
- Feb 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jessica L Stangenwald, DC
- Title
- Clinic Director
- Phone
- (817) 281-9040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
401 SW Plaza
Suite 103
Arlington, TX 76016
Mailing address
466 Mid Cities Blvd
Hurst, TX 76054-2430
Phone (817) 281-9040
Other names 1
- Total Body Wellness
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203465600000",
"number": "1376711614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 MID CITIES BLVD",
"city": "HURST",
"state": "TX",
"postal_code": "760542430",
"telephone_number": "817-281-9040",
"fax_number": "817-281-4249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SW PLAZA",
"address_2": "SUITE 103",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76016",
"telephone_number": "817-561-4907",
"fax_number": "817-561-6740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANGENWALD ENT PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A",
"authorized_official_last_name": "STANGENWALD",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "817-281-9040",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Total Body Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.