Individual provider Active NPI

Sharon Denise Stafford, D.C.

  • Chiropractor
  • Carrollton, TX
National Provider Identifier
1639110984
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9439 Issued in TX
Practice address
2840 Keller Springs Rd Ste 301
Carrollton, TX 75006-4849
Phone
(972) 418-5150
Fax
(972) 416-6827
NPI assigned
Jun 9, 2006
Last updated
Aug 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9439 TX Primary

Addresses

Primary practice location

2840 Keller Springs Rd Ste 301
Carrollton, TX 75006-4849

Mailing address

2006 Oxford Cir
Grand Prairie, TX 75051-3747
Phone (972) 352-5315

Other identifiers 2

IdentifierTypeStateIssuer
8T3809OtherTXBLUE CROSS BLUE SHIELD
2161135OtherTXFIRST SPECIALTY HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050216001003 TX Practitioner - Chiropractic 1456303536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CFC PLLCGroup PAC ID 2365607033, 3 clinicians

Practice addresses (Care Compare)

2840 Keller Springs Rd
Suite 301
Carrollton, TX 75006-4849
Phone (972) 418-5150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9439TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CFC, PLLC Chiropractor CurrentSince Mar 5, 2012 Accepting new patients
American Chiropractic Clinic Chiropractor PastSince May 18, 2017 Accepting new patients
American Integrated Healthcare PLLC Chiropractor PastSince Nov 8, 2018 Accepting new patients

Locations

2840 Keller Springs Rd
Ste 301
Carrollton, TX 75006
Phone (972) 418-5150

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1639110984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 OXFORD CIR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513747",
            "telephone_number": "972-352-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 KELLER SPRINGS RD STE 301",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750064849",
            "telephone_number": "972-418-5150",
            "fax_number": "972-416-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "SHARON",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8T3809",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST SPECIALTY HEALTH",
            "identifier": "2161135",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.