Stackis Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A5735 Issued in IA

Legal business name

STACKIS CHIROPRACTIC INC.

Practice address

3250 Kennedy Cir
Dubuque, IA 52002-3886

Phone

(563) 583-9634

Fax

(563) 583-9684

NPI assigned

Jan 27, 2009

Last updated

Jan 27, 2009By 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

Jeffrey A Stackis, D.CNPI 1669447173

Title

Owner

Phone

(563) 583-9634

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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.

• Jeffrey A Stackis, D.C.

  • Chiropractor
  • Dubuque, IA
  • NPI 1669447173
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1447498639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 KENNEDY CIR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023886",
            "telephone_number": "563-583-9634",
            "fax_number": "563-583-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 KENNEDY CIR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023886",
            "telephone_number": "563-583-9634",
            "fax_number": "563-583-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACKIS CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "STACKIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-583-9634",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A5735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Marie Sprimont, LISW, MSW
• Molly Sue Spurley, FNP
• Todd Charles Spurling, DC
• Douglas C Spyrison, O.D.
• SRB Counseling, LLC
• Jeffrey A Stackis, D.C.
• Timothy Michael Stackis, DC
• Matthew J Stader, CRNA
• Marie Rose Stangl
• Shevonne Starry

• Chiropractor in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.