Individual provider Active NPI

Jeffrey A Stackis, D.C.

  • Chiropractor
  • Dubuque, IA
National Provider Identifier
1669447173
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
IA 05735 Issued in IA
Practice address
3250 Kennedy Cir
Dubuque, IA 52002-3886
Phone
(563) 583-9634
Fax
(563) 583-9684
NPI assigned
Feb 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IA 05735 IA Primary

Addresses

Primary practice location

3250 Kennedy Cir
Dubuque, IA 52002-3886

Mailing address

3250 Kennedy Cir
Dubuque, IA 52002-3886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607000820 IA Practitioner - Chiropractic 0547242059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5555 Saratoga Rd
Suite 3
Asbury, IA 52002-2780
Phone (563) 583-9634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IA 05735IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stackis Chiropractic Inc. Chiropractor CurrentSince Jun 15, 1996 Accepting new patients

Locations

5555 Saratoga Rd
Ste 3
Asbury, IA 52002
Phone (563) 583-9634

3250 Kennedy Cir
Dubuque, IA 52002
Phone (563) 583-9634

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669447173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 KENNEDY CIR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 KENNEDY CIR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023886",
            "telephone_number": "563-583-9634",
            "fax_number": "563-583-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACKIS",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "IA 05735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.