Individual provider Active NPI

Thomas Jay Stetson, D.C.

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1669786729
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3554 Issued in SC
Practice address
224 Oneil CT
Suite 12
Columbia, SC 29223-7649
Phone
(814) 397-6516
NPI assigned
Aug 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3554 SC Primary

Addresses

Primary practice location

224 Oneil CT
Suite 12
Columbia, SC 29223-7649

Mailing address

224 Oneil CT
Suite 12
Columbia, SC 29223-7649

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101124001014 SC Practitioner - Chiropractic 9032305453 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Family Chiropractic Forest Acres LLC Chiropractor CurrentSince Apr 1, 2023 Accepting new patients
Columbia Family Chiropractic Chiropractor CurrentSince Jan 12, 2011 Accepting new patients
Columbia Family Chiropractic Northeast LLC Chiropractor CurrentSince Mar 1, 2023 Accepting new patients

Locations

224 Oneil Ct
Ste 21
Columbia, SC 29223
Phone (803) 788-8831

224 Oneil Ct
Ste 12
Columbia, SC 29223
Phone (803) 463-8452

1709 Saint Julian Pl
Columbia, SC 29204
Phone (803) 728-4528

124 N Brickyard Rd
Columbia, SC 29223
Phone (803) 788-8831

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1669786729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 ONEIL CT",
            "address_2": "SUITE 12",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ONEIL CT",
            "address_2": "SUITE 12",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237649",
            "telephone_number": "814-397-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETSON",
        "first_name": "THOMAS",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-01",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.