Stacy L Ebert, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8035 Issued in TX

Practice address

699 S Friendswood Dr
Ste 105
Friendswood, TX 77546-4580

Phone

(281) 648-0001

Fax

(281) 648-0146

NPI assigned

Apr 7, 2006

Last updated

Jan 30, 2008By the provider in NPPES

Sex

Female

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 2

Other names 1

• Stacy L Ebert-Levin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Back in Action Chiropractic

  • Chiropractor
  • Friendswood, TX
  • NPI 1982936654
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1609839059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 STEWART RD",
            "address_2": "STE 7",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511896",
            "telephone_number": "409-744-2225",
            "fax_number": "409-744-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 S FRIENDSWOOD DR",
            "address_2": "STE 105",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464580",
            "telephone_number": "281-648-0001",
            "fax_number": "281-648-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUELINK",
            "identifier": "8309124",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8S7574",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "EBERT-LEVIN",
            "middle_name": "L",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chiropractor in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.