Individual provider Active NPI

George Stanton Jr., DC

  • Chiropractor
  • Garden City, KS
National Provider Identifier
1497159404
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05657 Issued in KS
Practice address
519 W Mary St
Ste 115
Garden City, KS 67846-2782
Phone
(620) 276-8743
Fax
(620) 276-8783
NPI assigned
Oct 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05657 KS Primary

Addresses

Primary practice location

519 W Mary St
Ste 115
Garden City, KS 67846-2782

Mailing address

519 W Mary St
Ste 115
Garden City, KS 67846-2782
Phone (620) 276-8743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170206000247 KS Practitioner - Chiropractic 6800179342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Prairie Sage Functional Medicine and Kinesiology LLCGroup PAC ID 9537442074, 2 clinicians

Practice addresses (Care Compare)

519 W Mary St
Suite 115
Garden City, KS 67846-2782
Phone (620) 276-8743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Sage Functional Medicine and Kinesiology LLC Chiropractor CurrentSince Jan 2, 2017 Accepting new patients

Locations

519 W Mary St
Ste 115
Garden City, KS 67846
Phone (620) 276-8743

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1497159404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W MARY ST",
            "address_2": "STE 115",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678462782",
            "telephone_number": "620-276-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W MARY ST",
            "address_2": "STE 115",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678462782",
            "telephone_number": "620-276-8743",
            "fax_number": "620-276-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-20",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.