Organization Active NPI

Cheryl M. Stanley & Lauri M. Stanley, PA

Doing business as Dunnellon Chiropractic

  • Chiropractor
  • Dunnellon, FL
National Provider Identifier
1710083399
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006368 Issued in FL
Legal business name
CHERYL M. STANLEY & LAURI M. STANLEY, PA
Doing business as
Dunnellon Chiropractic
Practice address
20079 E Pennsylvania Ave
Dunnellon, FL 34432-6037
Phone
(352) 489-2995
Fax
(352) 465-4809
NPI assigned
Sep 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cheryl Monica Stanley, DCNPI 1134225717
Title
Owner
Phone
(352) 489-2995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0006368 FL Primary

Addresses

Primary practice location

20079 E Pennsylvania Ave
Dunnellon, FL 34432-6037

Mailing address

20079 E Pennsylvania Ave
Dunnellon, FL 34432-6037
Phone (352) 489-2995

Other identifiers 1

IdentifierTypeStateIssuer
21731OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Dunnellon Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100218000475 FL Part B Supplier - Clinic/Group Practice 5890839575 Receives reassigned benefits from 2 practitioners
Practice locations: Dunnellon, FL

National Provider Directory

National Provider Directory

Locations

20079 E Pennsylvania Ave
Dunnellon, FL 34432
Phone (352) 489-2995

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710083399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20079 E PENNSYLVANIA AVE",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344326037",
            "telephone_number": "352-489-2995",
            "fax_number": "352-465-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20079 E PENNSYLVANIA AVE",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344326037",
            "telephone_number": "352-489-2995",
            "fax_number": "352-465-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL M. STANLEY & LAURI M. STANLEY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-489-2995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21731",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunnellon Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunnellon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.