Active NPI
Chelsie Stainbrook, D.C.
- Chiropractor
- La Cygne, KS
National Provider Identifier
1699015545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05528
- Practice address
- 210 North Commercial Street
La Cygne, KS 66040 - Phone
- (913) 757-2003
- Fax
- (913) 757-2003
- NPI assigned
- Feb 28, 2013
- Sex
- Female
- 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 | 01-05528 | KS | Primary |
Addresses
Primary practice location
210 North Commercial Street
La Cygne, KS 66040
Mailing address
PO Box 195
La Cygne, KS 66040-0195
Phone (913) 757-2003
Other names 1
- Chelsie Kettler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130813000395 | KS | Practitioner - Chiropractic | 1951543438 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
210 Commercial St
La Cygne, KS 66040-6097
Phone (913) 757-2003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05528 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lacygne Chiropractic Clinic LLC | Chiropractor | Current | Accepting new patients |
Locations
210 Commercial St
Lacygne, KS 66040
Phone (913) 757-2003
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.
-
- Chiropractor
- La Cygne, KS
- NPI 1578957809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1699015545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 195",
"city": "LA CYGNE",
"state": "KS",
"postal_code": "660400195",
"telephone_number": "913-757-2003",
"fax_number": "913-757-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 NORTH COMMERCIAL STREET",
"city": "LA CYGNE",
"state": "KS",
"postal_code": "66040",
"telephone_number": "913-757-2003",
"fax_number": "913-757-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAINBROOK",
"first_name": "CHELSIE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-28",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHELSIE",
"last_name": "KETTLER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in La Cygne, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.