NPIMap

Organization Active NPI

Dr. Stephanie Pautler-Bea, D.C., P.C.

Doing business as Pautler Chiropractic & Wellness

  • Chiropractor
  • Alden, NY
National Provider Identifier
1669870796
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011323 Issued in NY
Legal business name
DR. STEPHANIE PAUTLER-BEA, D.C., P.C.
Doing business as
Pautler Chiropractic & Wellness
Practice address
13305 Broadway St
Alden, NY 14004-1324
Phone
(716) 902-5261
Fax
(716) 902-4303
NPI assigned
Dec 4, 2014
Last updated
Mar 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Dr. Stephanie Rose Pautler-Bea, D.C.NPI 1952310674
Title
President/Chiropractor
Phone
(716) 902-5261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 011323 NY Primary

Addresses

Primary practice location

13305 Broadway St
Alden, NY 14004-1324

Mailing address

13305 Broadway St
Alden, NY 14004-1324
Phone (716) 902-5261

Other names 1

  • Pautler Chiropractic & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150303000646 NY Part B Supplier - Clinic/Group Practice 4385960715 Receives reassigned benefits from 1 practitioner
Practice locations: Alden, NY

National Provider Directory

National Provider Directory

Locations

13305 Broadway St
Alden, NY 14004
Phone (716) 902-5261

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1669870796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13305 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041324",
            "telephone_number": "716-902-5261",
            "fax_number": "716-902-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13305 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041324",
            "telephone_number": "716-902-5261",
            "fax_number": "716-902-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEPHANIE PAUTLER-BEA, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "PAUTLER-BEA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "716-902-5261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pautler Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.