Stengel Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2009 Issued in SC

Legal business name

STENGEL CHIROPRACTIC, INC.

Doing business as

Willis ChiroMed

Practice address

1521 Main St
Conway, SC 29526-3570

Phone

(843) 248-7040

Fax

(843) 248-7538

NPI assigned

Oct 1, 2007

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Russell Stengel, D.C.NPI 1972544898

Title

Doctor/Owner

Phone

(843) 248-7040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Willis ChiroMed Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenn Russell Stengel, DC

  • Chiropractor
  • Conway, SC
  • NPI 1972544898
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1437346715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263570",
            "telephone_number": "843-248-7040",
            "fax_number": "843-248-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263570",
            "telephone_number": "843-248-7040",
            "fax_number": "843-248-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STENGEL CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "STENGEL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "843-248-7040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2009",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willis ChiroMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• State of South Carolina (SC Department of Public Health)
• State of South Carolina (SC Dhec)
• Katie Lorin Steiner, PT, DPT
• Megan Jean Steljes, FNP-BC
• John Paul Stelmach Jr., MD
• Glenn Russell Stengel, DC
• Jonathan Stephens, PA-C
• Stephen Stevens
• Caren Stewart, MA, LPCS
• Shannon Stinnett, RN

• Chiropractor in Conway, SC
• Providers in Conway, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.