Shawn Stadlbauer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-2301 Issued in ID

Practice address

4771 N Summit Way Ste 110
Meridian, ID 83646-5017

Phone

(208) 994-4747

NPI assigned

Sep 26, 2022

Last updated

Oct 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Spark LLCGroup PAC ID 0143756510, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Spark, LLC

  • Chiropractor
  • Meridian, ID
  • NPI 1205618840
  Medicare reassignment Care Compare group NPD
• Align Integrated Medical LLC

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1619484102
  NPD
• Everman Family Medicine

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1316744998
  NPD
• Woolner Enterprises PC

  dba Align Chiropractic

  • Chiropractor
  • Meridian, ID
  • NPI 1124379508
  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1447973250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4771 N SUMMIT WAY STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465017",
            "telephone_number": "208-994-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4771 N SUMMIT WAY STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465017",
            "telephone_number": "208-994-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADLBAUER",
        "first_name": "SHAWN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Lukes Regional Medical Center (St Lukes Saltzer DME Portico)
• St Lukes Regional Medical Center (St Lukes Pharmacy Locker - Meridian Winco #48/Progress Ave)
• St Lukes Regional Medical Center (St Lukes Clinic - General Surgery)
• St. Alphonsus Physician Services Inc (St. Alphonsus Medical Group Ten Mile)
• St. Fillan's, LLC
• Alexis Staeb, LMSW, CCLS, CFLE
• James Porter Stagg, DO
• Audrey Jean Staley
• Stallones Mobility LLC (101 Mobility)
• Standup MRI of Boise, LLC (Boise Upright MRI)

• Chiropractor in Meridian, ID
• Providers in Meridian, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.