Organization Active NPI

Dr Jeffrey W Stinson DC PSC

Doing business as Stinson Chiropractic Center

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1548443013
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR JEFFREY W STINSON DC PSC
Doing business as
Stinson Chiropractic Center
Practice address
715 Shaker Dr Ste 50
Lexington, KY 40504-3628
Phone
(859) 276-1123
Fax
(859) 276-1151
NPI assigned
Dec 7, 2007
Last updated
Jul 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Authorized official

Name
Dr. Jeffrey W Stinson, D.C., B.C.A.O.NPI 1760578447
Title
Owner
Phone
(859) 276-1123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

715 Shaker Dr Ste 50
Lexington, KY 40504-3628

Mailing address

715 Shaker Dr Ste 50
Lexington, KY 40504-3628
Phone (859) 276-1123

Other practice location 1

1529 Nicholasville Rd
Suite 1
Lexington, KY 40503-1437
Phone (859) 276-1123

Other identifiers 1

IdentifierTypeStateIssuer
7100006090MedicaidKY

Other names 2

  • Stinson Chiropractic Center Doing business as
  • Stinson Chiropractic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051011001090 KY Part B Supplier - Clinic/Group Practice 6406871151 Receives reassigned benefits from 3 practitioners
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

1529 Nicholasville Rd
Ste 1
Lexington, KY 40503
Phone (859) 276-1123

715 Shaker Dr
Ste 50
Lexington, KY 40504
Phone (859) 276-1123

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1548443013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SHAKER DR STE 50",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043628",
            "telephone_number": "859-276-1123",
            "fax_number": "859-276-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SHAKER DR STE 50",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043628",
            "telephone_number": "859-276-1123",
            "fax_number": "859-276-1151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1529 Nicholasville Rd",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031437",
            "country_code": "US",
            "telephone_number": "859-276-1123",
            "fax_number": "859-276-1151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR JEFFREY W STINSON DC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "STINSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-276-1123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., B.C.A.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100006090",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stinson Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stinson Chiropractic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Stinson Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.