Stassi Chiropractic & Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012925 Issued in IL

Legal business name

STASSI CHIROPRACTIC & WELLNESS CENTER LLC

Practice address

112 W Bethalto Blvd
Bethalto, IL 62010-1703

Phone

(618) 717-0621

Fax

(618) 717-0622

NPI assigned

Jan 10, 2017

Last updated

Jan 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kory J Stassi, D.C.NPI 1891151858

Title

Owner

Phone

(618) 717-0621

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kory Stassi, D.C.

  • Chiropractor
  • Bethalto, IL
  • NPI 1891151858
  Medicare reassignment Care Compare group NPD Authorized official
• Amber Jo Miller, DC

  • Chiropractor
  • Edwardsville, IL
  • NPI 1821802778
  Medicare reassignment Care Compare group NPD
• Beth Estelle Pruett, DC

  • Chiropractor
  • Bethalto, IL
  • NPI 1407378169
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1508302985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W BETHALTO BLVD",
            "city": "BETHALTO",
            "state": "IL",
            "postal_code": "620101703",
            "telephone_number": "618-717-0621",
            "fax_number": "618-717-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W BETHALTO BLVD",
            "city": "BETHALTO",
            "state": "IL",
            "postal_code": "620101703",
            "telephone_number": "618-717-0621",
            "fax_number": "618-717-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STASSI CHIROPRACTIC & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "STASSI",
        "authorized_official_first_name": "KORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-717-0621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brayden Shirley, PHARMD
• Kaitlynn Smith
• Katelynn Snell
• Adam M Snyder, DMD
• Megan Springman, MSN, FNP-C
• Kory Stassi, D.C.
• Aaron Michael Suessen, M.S. ATC
• Supporting Community Independence
• Debra J Taylor, RPH
• Team Physical Therapy

• Chiropractor in Bethalto, IL
• Providers in Bethalto, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.