Stanley Family Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

111N00000X Issued in IA

Legal business name

STANLEY FAMILY CHIROPRACTIC PC

Practice address

1723 Highway Blvd
Ste 2
Spencer, IA 51301-2200

Phone

(712) 262-5510

Fax

(712) 262-5511

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brent Ray Stanley, D.C.NPI 1487646766

Title

Owner

Phone

(712) 262-5510

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brent Ray Stanley, D.C.

  • Chiropractor
  • Spencer, IA
  • NPI 1487646766
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1669437422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 HIGHWAY BLVD",
            "address_2": "STE 2",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012200",
            "telephone_number": "712-262-5510",
            "fax_number": "712-262-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 HIGHWAY BLVD",
            "address_2": "STE 2",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012200",
            "telephone_number": "712-262-5510",
            "fax_number": "712-262-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-262-5510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "111N00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1189050",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0285213",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer Surgery and Laser Center, LLC
• Spencer Total Family Eyecare PC
• Spencer Total Family Eyecare, P.C.
• Morgan Elizabeth Spielman
• St Luke Homes & Services Inc
• Brent Ray Stanley, D.C.
• Danielle Stelpflug
• Steven a. Moore
• Still Waters Recovery, Inc
• Lois Tacke Stillman, MNT

• Chiropractor in Spencer, IA
• Providers in Spencer, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.