Active NPI
Stacy Burlin Warner, D.C.
- Chiropractor
- Wake Village, TX
National Provider Identifier
1760474795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6942
- Practice address
- 4412 W 7TH St
Wake Village, TX 75501-6352 - Phone
- (903) 334-9110
- Fax
- (903) 223-3753
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6942 | TX | Primary |
Addresses
Primary practice location
4412 W 7TH St
Wake Village, TX 75501-6352
Mailing address
4412 W 7TH St
Wake Village, TX 75501-6352
Phone (903) 334-9110
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98122 | Other | AR | AR BLUE CROSS/BLUE SHIELD |
| 00000005HJ | Other | TX | TX BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1760474795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4412 W 7TH ST",
"city": "WAKE VILLAGE",
"state": "TX",
"postal_code": "755016352",
"telephone_number": "903-334-9110",
"fax_number": "903-223-3753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4412 W 7TH ST",
"city": "WAKE VILLAGE",
"state": "TX",
"postal_code": "755016352",
"telephone_number": "903-334-9110",
"fax_number": "903-223-3753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "STACY",
"middle_name": "BURLIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "6942",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BLUE CROSS/BLUE SHIELD",
"identifier": "98122",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX BLUE CROSS/BLUE SHIELD",
"identifier": "00000005HJ",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wake Village, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.