Stanley Eugene Isdale, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 5329 Issued in TX

Practice address

100 W. Central Texas Expwy
Suite 104
Harker Heights, TX 76548

Phone

(254) 699-3303

Fax

(254) 699-7519

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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 and National Provider Directory roles.

• Isdale Chiropractic Clinic

  • Chiropractor
  • Killeen, TX
  • NPI 1073621223
  Medicare reassignment NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598835589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W. CENTRAL TEXAS EXPWY",
            "address_2": "SUITE 104",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "76548",
            "telephone_number": "254-699-3303",
            "fax_number": "254-699-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W. CENTRAL TEXAS EXPWY",
            "address_2": "SUITE 104",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "76548",
            "telephone_number": "254-699-3303",
            "fax_number": "254-699-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISDALE",
        "first_name": "STANLEY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC 5329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DC 5329",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrity-Care NMTS, LLC
• Ir Rehab PC
• Camron Irwin
• Isdale Corrective Chiropractic
• Shane Evan Isdale, D.C.
• Yemima Israel
• Brien Iverson, LMSW, MSW
• Keairra Ivey
• Jilliann Rosemary Jacko
• Ailsa Elaine Jackson

• Chiropractor in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.