Individual provider Active NPI

Charles R. Stanfield, DC

  • Chiropractor
  • Toms River, NJ
National Provider Identifier
1477595692
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC03237 Issued in NJ
Practice address
1000 Commons Way
Toms River, NJ 08755-6429
Phone
(732) 341-0070
Fax
(732) 341-0270
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC03237 NJ Primary

Addresses

Primary practice location

1000 Commons Way
Toms River, NJ 08755-6429

Mailing address

1000 Commons Way
Toms River, NJ 08755-6429
Phone (732) 341-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC03237NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Beck Wellness Center Chiropractor Past Accepting new patients
Petris Chiropractic LLC Chiropractor PastSince Sep 23, 2019 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1477595692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 COMMONS WAY",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556429",
            "telephone_number": "732-341-0070",
            "fax_number": "732-341-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COMMONS WAY",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556429",
            "telephone_number": "732-341-0070",
            "fax_number": "732-341-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFIELD",
        "first_name": "CHARLES",
        "middle_name": "R.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC03237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.