Organization Active NPI

Stadler Chiropractic, LLC

  • Chiropractor
  • Delafield, WI
National Provider Identifier
1437634334
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STADLER CHIROPRACTIC, LLC
Practice address
711 Main St
Delafield, WI 53018-1507
Phone
(252) 232-7910
NPI assigned
Sep 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Authorized official

Name
Shannon Michelle Stadler, DCNPI 1023323789
Title
Owner
Phone
(262) 364-8488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

711 Main St
Delafield, WI 53018-1507

Mailing address

711 Main St
Delafield, WI 53018-1507
Phone (252) 232-7910

Other identifiers 1

IdentifierTypeStateIssuer
1023323789MedicaidWI

Other names 1

  • Stadler Chiropractic & Co Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181108001748 WI Part B Supplier - Clinic/Group Practice 3274887310 Receives reassigned benefits from 1 practitioner
Practice locations: Delafield, WI

National Provider Directory

National Provider Directory

Locations

711 Main St
Delafield, WI 53018
Phone (262) 232-7910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1437634334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 MAIN ST",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530181507",
            "telephone_number": "252-232-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MAIN ST",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530181507",
            "telephone_number": "252-232-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STADLER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "STADLER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-364-8488",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023323789",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stadler Chiropractic & Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delafield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.