Individual provider Active NPI

Zachary Stoulil, D.C.

  • Chiropractor
  • Eldora, IA
National Provider Identifier
1689064263
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
076507 Issued in IA
Practice address
1376 Washington St
Eldora, IA 50627-1631
Phone
(641) 939-3831
NPI assigned
Feb 3, 2015
Last updated
Feb 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 076507 IA Primary

Addresses

Primary practice location

1376 Washington St
Eldora, IA 50627-1631

Mailing address

1376 Washington St
Eldora, IA 50627-1631

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150511001009 IA Practitioner - Chiropractic 1052630225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eldora Family Chiropractic and Wellness Center, P.C.Group PAC ID 0143549311, 2 clinicians

Practice addresses (Care Compare)

1376 Washington St
Eldora, IA 50627-1631
Phone (641) 939-3831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eldora Family Chiropractic & Wellness Center PC Chiropractor CurrentSince Apr 1, 2015 Accepting new patients
Ronald C Neuerburg DC Chiropractor PastSince Apr 1, 2015 Accepting new patients

Locations

1376 Washington St
Eldora, IA 50627
Phone (641) 939-3831

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1689064263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 WASHINGTON ST",
            "city": "ELDORA",
            "state": "IA",
            "postal_code": "506271631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 WASHINGTON ST",
            "city": "ELDORA",
            "state": "IA",
            "postal_code": "506271631",
            "telephone_number": "641-939-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOULIL",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "076507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldora, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.