Active NPI
Curtis Stacy III, D.C., F.I.A.M.A.
- Rehabilitation Chiropractor
- Killeen, TX
National Provider Identifier
1497908990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 8758
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 584770YY3L | Other | TX | MEDICARE |
| C-06039379 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 10611 Medical Associates PLLC | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Lubbock, TX
- NPI 1891430989
-
- Chiropractor
- Lubbock, TX
- NPI 1689684714
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.