Organization Active NPI

Eric Stumpff D.C. LLC

Doing business as Stumpff Chiropractic

  • Chiropractor
  • Plantation, FL
National Provider Identifier
1720471360
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11341 Issued in FL
Legal business name
ERIC STUMPFF D.C. LLC
Doing business as
Stumpff Chiropractic
Practice address
7860 Peters Rd
F-111
Plantation, FL 33324-4086
Phone
(954) 368-4054
Fax
(954) 769-1258
NPI assigned
Mar 6, 2015
Last updated
Jan 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Dr. Eric R Stumpff, D.C.NPI 1871999755
Title
MGR
Phone
(954) 368-4054

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 CH11341 FL Primary

Addresses

Primary practice location

7860 Peters Rd
F-111
Plantation, FL 33324-4086

Mailing address

7860 Peters Rd
F-111
Plantation, FL 33324-4086
Phone (954) 368-4054

Other identifiers 1

IdentifierTypeStateIssuer
ID105AOtherFLMEDICARE PTAN

Other names 1

  • Stumpff Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150520002357 FL Part B Supplier - Clinic/Group Practice 7719207422 Receives reassigned benefits from 1 practitioner
Practice locations: Plantation, FL

National Provider Directory

National Provider Directory

Locations

7860 Peters Rd
Ste F111
Plantation, FL 33324
Phone (954) 368-4054

Practitioners & affiliated clinicians

Practitioners 1

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": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1720471360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7860 PETERS RD",
            "address_2": "F-111",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244086",
            "telephone_number": "954-368-4054",
            "fax_number": "954-769-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7860 PETERS RD",
            "address_2": "F-111",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244086",
            "telephone_number": "954-368-4054",
            "fax_number": "954-769-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC STUMPFF D.C. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "STUMPFF",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "954-368-4054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ID105A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stumpff Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.