Active NPI
Jeffrey Ryan Staheli, DC, MS, CCSP
- Sports Physician Chiropractor
- Phoenix, AZ
National Provider Identifier
1548502297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 8316
- Practice address
- 9150 W Indian School Rd
Suite 138
Phoenix, AZ 85037-2384 - Phone
- (503) 935-4909
- NPI assigned
- Mar 20, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 8316 | AZ | Primary |
Addresses
Primary practice location
9150 W Indian School Rd
Suite 138
Phoenix, AZ 85037-2384
Mailing address
9150 W Indian School Rd
Suite 138
Phoenix, AZ 85037-2384
Phone (503) 935-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8316 | AZ | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1548502297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9150 W INDIAN SCHOOL RD",
"address_2": "SUITE 138",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850372384",
"telephone_number": "503-935-4909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 W INDIAN SCHOOL RD",
"address_2": "SUITE 138",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850372384",
"telephone_number": "503-935-4909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAHELI",
"first_name": "JEFFREY",
"middle_name": "RYAN",
"credential": "DC, MS, CCSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-20",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "AZ",
"license": "8316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.