Active NPI
Jason Todd Stephens, D.C.
- Chiropractor
- Rice Lake, WI
National Provider Identifier
1699864108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4541
- Practice address
- 2021 Cenex Dr
Suite E
Rice Lake, WI 54868-1891 - Phone
- (715) 234-9876
- Fax
- (715) 234-0855
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4541 | WI | Primary |
| Chiropractor | 111N00000X | 4257 | CO |
Addresses
Primary practice location
2021 Cenex Dr
Suite E
Rice Lake, WI 54868-1891
Mailing address
225 S Main St
Rice Lake, WI 54868-2231
Phone (715) 234-9876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
225 S Main St
Rice Lake, WI 54868-2231
Phone (715) 234-9876
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4257 | CO | MD | Professional Counselor |
| 4541 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephens Chiropractic, S.C. | Chiropractor | Current | Accepting new patients |
| Tell Peck Chiropractic Inc | Chiropractor | Past | Accepting new patients |
| Kromrey Chiropractic, S.C. | Chiropractor | Past | Accepting new patients |
| Wissota Chiropractic | Chiropractor | Past | Accepting new patients |
| Priority Chiropractic Wellness Center, LLC | Chiropractor | Past | Accepting new patients |
Locations
2021 Cenex Dr
Unit E
Rice Lake, WI 54868
Phone (715) 234-9876
225 S Main St
Rice Lake, WI 54868
Phone (715) 234-9876
Organizations & group practices 5
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
- Rice Lake, WI
- NPI 1710322540
-
- Chiropractor
- Cadott, WI
- NPI 1396934725
-
- Chiropractor
- Rice Lake, WI
- NPI 1588896690
-
- Chiropractor
- Chippewa Falls, WI
- NPI 1144607946
-
- Chiropractor
- Chippewa Falls, WI
- NPI 1245496728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1699864108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S MAIN ST",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548682231",
"telephone_number": "715-234-9876",
"fax_number": "715-234-0855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 CENEX DR",
"address_2": "SUITE E",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548681891",
"telephone_number": "715-234-9876",
"fax_number": "715-234-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "JASON",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4541",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "4257",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rice Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.