Advanced Body Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ADVANCED BODY CHIROPRACTIC PA

Practice address

93 20TH St NE
Stewartville, MN 55976-8421

Phone

(507) 533-4777

Fax

(507) 533-4778

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie C Lillis, DC

Title

Chiropractor/Owner

Phone

(507) 533-4777

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Mickelson, D.C.

  • Chiropractor
  • Stewartville, MN
  • NPI 1750712873
  NPD (past)
• Melissa Sue Nevsimal, D.C.

  • Chiropractor
  • Plainview, MN
  • NPI 1598154726
  NPD (past)
• Thomas Francis Sheehan, DC

  • Chiropractor
  • Chatfield, MN
  • NPI 1275048951
  NPD (past)
• Lewis James Pagel, DC

  • Chiropractor
  • Kotzebue, AK
  • NPI 1497851372
  NPD (past)
• Brooke E Silberhorn, DC

  • Chiropractor
  • Roscoe, IL
  • NPI 1215159256
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1760588651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 20TH ST NE",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559768421",
            "telephone_number": "507-533-4777",
            "fax_number": "507-533-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 20TH ST NE",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559768421",
            "telephone_number": "507-533-4777",
            "fax_number": "507-533-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BODY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "LILLIS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "507-533-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894642600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "091K3AD",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 507 Family Chiropractic LLC
• Adventure Optical Inc.
• WM Bardwell
• Thomas William Bro, DDS
• Justin Alan Cyphers, D.C.
• Caroline Dahlke

• Chiropractor in Stewartville, MN
• Providers in Stewartville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.