Organization Active NPI

Stern Family Chiropractic, LLC

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1447553128
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9120 Issued in FL
Legal business name
STERN FAMILY CHIROPRACTIC, LLC
Practice address
5505 North W Street
Pensacola, FL 32505
Phone
(850) 435-9200
Fax
(850) 435-9922
NPI assigned
Dec 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Dr. Jason Eric Stern, D.C.NPI 1962589531
Title
Doctor
Phone
(850) 435-9200

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 CH9120 FL Primary

Addresses

Primary practice location

5505 North W Street
Pensacola, FL 32505

Mailing address

5505 North W Street
Pensacola, FL 32505
Phone (850) 435-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110520000091 FL Part B Supplier - Clinic/Group Practice 8022294347 Receives reassigned benefits from 1 practitioner
Practice locations: Pensacola, FL

National Provider Directory

National Provider Directory

Locations

5505 N W St
Pensacola, FL 32505
Phone (850) 435-9200

5599 N W St
Pensacola, FL 32505
Phone (850) 432-3484

Practitioners & affiliated clinicians

Practitioners 2

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": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1447553128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 NORTH W STREET",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32505",
            "telephone_number": "850-435-9200",
            "fax_number": "850-435-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 NORTH W STREET",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32505",
            "telephone_number": "850-435-9200",
            "fax_number": "850-435-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERN FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "850-435-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.