NPIMap

Organization Active NPI

Pamela Stiefvater

  • Chiropractor
  • South Dennis, MA
National Provider Identifier
1750414934
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
937 Issued in MA
Legal business name
PAMELA STIEFVATER
Practice address
430 Old Bass River Rd
South Dennis, MA 02660-2724
Phone
(508) 385-4061
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Dr. Pamela Jean Stiefvater, D.C.
Title
Owner
Phone
(508) 385-4061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 937 MA Primary

Addresses

Primary practice location

430 Old Bass River Rd
South Dennis, MA 02660-2724

Mailing address

430 Old Bass River Rd
South Dennis, MA 02660-2724
Phone (508) 385-4061

Other identifiers 2

IdentifierTypeStateIssuer
1608851MedicaidMA
Y39488OtherMABLUE CROSS GROUP#

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1750414934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 OLD BASS RIVER RD",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026602724",
            "telephone_number": "508-385-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 OLD BASS RIVER RD",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026602724",
            "telephone_number": "508-385-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA STIEFVATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "STIEFVATER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-385-4061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1608851",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP#",
            "identifier": "Y39488",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Dennis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.