Individual provider Active NPI

Michael Patrick Stanley, D.C.

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1487959755
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05377 Issued in KS
Practice address
11444 E Central Ave Ste 201
Wichita, KS 67206-2805
Phone
(316) 685-4965
NPI assigned
Jan 18, 2011
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05377 KS Primary

Addresses

Primary practice location

11444 E Central Ave Ste 201
Wichita, KS 67206-2805

Mailing address

5119 E Kellogg Dr
Wichita, KS 67218-1625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110428000302 KS Practitioner - Chiropractic 9931384393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11444 E Central Ave
Wichita, KS 67206-2805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05377KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stanley Chiropractic LLC Chiropractor CurrentSince Oct 30, 2017 Accepting new patients

Locations

11444 E Central Ave
Wichita, KS 67206
Phone (316) 290-9158

11444 E Central Ave
Ste 201
Wichita, KS 67206
Phone (316) 685-4965

555 N McLean Blvd
Ste 302
Wichita, KS 67203
Phone (316) 685-4965

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1487959755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 E KELLOGG DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11444 E CENTRAL AVE STE 201",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062805",
            "telephone_number": "316-685-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.