Individual provider Active NPI

Curtis Stacy III, D.C., F.I.A.M.A.

  • Rehabilitation Chiropractor
  • Killeen, TX
National Provider Identifier
1497908990
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
8758 Issued in TX
Practice address
1010 W Jasper Dr Ste 1
Killeen, TX 76542-1328
Phone
(254) 200-0401
Fax
(254) 200-0405
NPI assigned
Oct 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 8758 TX Primary

Addresses

Primary practice location

1010 W Jasper Dr Ste 1
Killeen, TX 76542-1328

Mailing address

1010 W Jasper Dr Ste 1
Killeen, TX 76542-1328
Phone (254) 200-0401

Other identifiers 2

IdentifierTypeStateIssuer
584770YY3LOtherTXMEDICARE
C-06039379MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170728000574 TX Practitioner - Chiropractic 0941570618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
10611 Medical Associates PLLCGroup PAC ID 6103207428, 4 clinicians

Practice addresses (Care Compare)

10611 Quaker Ave
Lubbock, TX 79424-8309
Phone (806) 797-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
10611 Medical Associates PLLC CurrentSince Apr 17, 2024 Accepting new patients

Locations

10611 Quaker Ave
Lubbock, TX 79424
Phone (806) 797-4000

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1497908990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W JASPER DR STE 1",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421328",
            "telephone_number": "254-200-0401",
            "fax_number": "254-200-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W JASPER DR STE 1",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421328",
            "telephone_number": "254-200-0401",
            "fax_number": "254-200-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACY",
        "first_name": "CURTIS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C., F.I.A.M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "8758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "584770YY3L",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C-06039379",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.