Individual provider Active NPI

Stephen Andrew Stellfox, D.C.

  • Chiropractor
  • Chapin, SC
National Provider Identifier
1508166356
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3602 Issued in SC
Practice address
120 Smiths Ford Road
Chapin, SC 29036-8620
Phone
(803) 429-7690
NPI assigned
Oct 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3602 SC Primary

Addresses

Primary practice location

120 Smiths Ford Road
Chapin, SC 29036-8620

Mailing address

120 Smiths Ford Road
Chapin, SC 29036-8620
Phone (803) 429-7690

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110919000000 SC Practitioner - Chiropractic 9537349980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

279 Chapin Rd
Chapin, SC 29036-8064
Phone (803) 575-8616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3602SCMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Spine and Pain LLC Chiropractor CurrentSince Mar 18, 2019 Accepting new patients
Dr Rick Sanford Chiropractic and Medical Associates, LLC Chiropractor Past Accepting new patients
Conner Chiropractic, LLC Chiropractor PastSince Jun 1, 2003 Accepting new patients

Locations

279 Chapin Rd
Chapin, SC 29036
Phone (803) 575-8616

Organizations & group practices 3

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": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1508166356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SMITHS FORD ROAD",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368620",
            "telephone_number": "803-429-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SMITHS FORD ROAD",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368620",
            "telephone_number": "803-429-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLFOX",
        "first_name": "STEPHEN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.