Organization Active NPI

Stephens Chiropractic Center, DC PA

  • Chiropractor
  • Ocala, FL
National Provider Identifier
1578746442
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8271 Issued in FL
Legal business name
STEPHENS CHIROPRACTIC CENTER, DC PA
Practice address
3235 SW 34TH St Ste 102
Ocala, FL 34474-7502
Phone
(352) 622-4555
Fax
(352) 861-4577
NPI assigned
Dec 13, 2007
Last updated
Jul 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Dr. Gary Ernest Stephens, DC
Title
Chiropractor
Phone
(352) 622-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 8271 FL Primary

Addresses

Primary practice location

3235 SW 34TH St Ste 102
Ocala, FL 34474-7502

Mailing address

3235 SW 34TH St Ste 102
Ocala, FL 34474-7502
Phone (352) 622-4555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120705000218 FL Part B Supplier - Clinic/Group Practice 6709041387 Receives reassigned benefits from 3 practitioners
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Locations

3101 SW 34th Ave
Ste 202
Ocala, FL 34474
Phone (352) 622-4555

3235 SW 34th St
Ste 102
Ocala, FL 34474
Phone (352) 622-4555

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1578746442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 SW 34TH ST STE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747502",
            "telephone_number": "352-622-4555",
            "fax_number": "352-861-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 SW 34TH ST STE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747502",
            "telephone_number": "352-622-4555",
            "fax_number": "352-861-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS CHIROPRACTIC CENTER, DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "352-622-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.