Organization Active NPI

Stallbaumer Family Chiropractic LLC

  • Chiropractor
  • Hiawatha, KS
National Provider Identifier
1487001269
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05788 Issued in KS
Legal business name
STALLBAUMER FAMILY CHIROPRACTIC LLC
Practice address
206 S 1St St
Hiawatha, KS 66434-2618
Phone
(785) 742-7164
NPI assigned
May 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Authorized official

Name
Dr. James Stallbaumer, D.C.NPI 1043664667
Title
Chiropractor
Phone
(785) 294-0884

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 01-05788 KS Primary

Addresses

Primary practice location

206 S 1St St
Hiawatha, KS 66434-2618

Mailing address

206 S 1St St
Hiawatha, KS 66434-2618
Phone (785) 742-7164

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160715000998 KS Part B Supplier - Clinic/Group Practice 0244522951 Receives reassigned benefits from 2 practitioners
Practice locations: Hiawatha, KS

National Provider Directory

National Provider Directory

Locations

206 S 1st St
Hiawatha, KS 66434
Phone (785) 742-7164

Practitioners & affiliated clinicians

Practitioners 3

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": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1487001269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S 1ST ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342618",
            "telephone_number": "785-742-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S 1ST ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342618",
            "telephone_number": "785-742-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALLBAUMER FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "STALLBAUMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "785-294-0884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.