Active NPI
John C Stagg, D.C.
- Chiropractor
- Janesville, WI
National Provider Identifier
1679690473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1884
- Practice address
- 2100 E Milwaukee St
Suite 18
Janesville, WI 53545-2182 - Phone
- (608) 756-3434
- NPI assigned
- Mar 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1884 | WI | Primary |
Addresses
Primary practice location
2100 E Milwaukee St
Suite 18
Janesville, WI 53545-2182
Mailing address
2100 E Milwaukee St
Suite 18
Janesville, WI 53545-2182
Phone (608) 756-3434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1884 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679690473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 E MILWAUKEE ST",
"address_2": "SUITE 18",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535452182",
"telephone_number": "608-756-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 E MILWAUKEE ST",
"address_2": "SUITE 18",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535452182",
"telephone_number": "608-756-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGG",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "1884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.