Mason Michael Stahley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH.61257998 Issued in WA

Practice address

13003 SE Kent Kangley Rd Ste 110
Kent, WA 98030-7919

Phone

(253) 638-2424

NPI assigned

Feb 10, 2022

Last updated

Feb 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nordquist Integrated MedicineGroup PAC ID 9234596156, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nordquist Integrated Medicine

  • Integrative Medicine Physician
  • Puyallup, WA
  • NPI 1033838750

  Chiropractor

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1528712239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10303 20TH ST E APT F206",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983721015",
            "telephone_number": "916-719-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13003 SE KENT KANGLEY RD STE 110",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307919",
            "telephone_number": "253-638-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHLEY",
        "first_name": "MASON",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61257998",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH.61257998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suze St Louis, LMP
• Rachael Lynn St. Clair, LMHC
• John Andrew St. Laurent Sr., L.M.P
• Judith E. Stacey-Robar, ARNP
• Stadnik and Associates (vitality spine and rehab)
• Kevin Staley
• Staloco House LLC
• Ellie Stannard
• Star Lake Adult Family Home
• Traci Starr

• Chiropractor in Kent, WA
• Providers in Kent, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.