Individual provider Active NPI

Stefan Stoebe, DC

  • Chiropractor
  • Saint Cloud, MN
National Provider Identifier
1700338829
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6262 Issued in MN
Practice address
3700 W Division St Ste 101
Saint Cloud, MN 56301-4031
Phone
(320) 251-3450
NPI assigned
Oct 25, 2016
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6262 MN Primary

Addresses

Primary practice location

3700 W Division St Ste 101
Saint Cloud, MN 56301-4031

Mailing address

3700 W Division St Ste 101
Saint Cloud, MN 56301-4031
Phone (320) 251-3450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161222001343 MN Practitioner - Chiropractic 7012298409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hjort Chiropractic PAGroup PAC ID 8224022652, 3 clinicians

Practice addresses (Care Compare)

3700 W Division St
Suite 101
Saint Cloud, MN 56301-4031
Phone (320) 251-3450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6262MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hjort Chiropractic, P.a. Chiropractor CurrentSince Nov 19, 2016 Accepting new patients

Locations

3700 W Division St
Ste 101
Saint Cloud, MN 56301
Phone (320) 251-3450

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": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1700338829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W DIVISION ST STE 101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014031",
            "telephone_number": "320-251-3450",
            "fax_number": "320-203-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W DIVISION ST STE 101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014031",
            "telephone_number": "320-251-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOEBE",
        "first_name": "STEFAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.