Kevin Stachnik, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010537 Issued in IL

Practice address

1207 S Mattis Ave
Ste 2
Champaign, IL 61821-4861

Phone

(309) 661-0414

Fax

(309) 661-8697

NPI assigned

May 10, 2006

Last updated

Feb 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Champaign Clinic Inc

  dba Champaign Chiropractic Clinic

  • Chiropractor
  • Champaign, IL
  • NPI 1316783178
  Medicare reassignment NPD Authorized official
• Casey Family Chiropractic LLC

  dba Champaign Chiropractic Clinic

  • Chiropractor
  • Jacksonville, IL
  • NPI 1619346871
  Medicare reassignment NPD
• Collaborative Medical PLLC

  • Medical Specialty Clinic/Center
  • Jacksonville, IL
  • NPI 1891494738
  NPD

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1720038128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 S MATTIS AVE",
            "address_2": "STE 2",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618214861",
            "telephone_number": "309-745-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S MATTIS AVE",
            "address_2": "STE 2",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618214861",
            "telephone_number": "309-661-0414",
            "fax_number": "309-661-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHNIK",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Srajek, PHD LCSW
• Krishnan Srinivasan, MD
• Rose St Clair, LCSW
• Jessica St Pierre
• Renee Ann St. Clair, PH.D., LMFT
• Ann Elizabeth Stachowiak
• Staci Poe Counseling Services
• Samantha Stafford, DPT
• Victor Earl Stams, MD
• Thomas E Standley, DMD

• Chiropractor in Champaign, IL
• Providers in Champaign, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.