Stevens Chiropractic Center, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002549A Issued in IN

Legal business name

STEVENS CHIROPRACTIC CENTER, PC

Practice address

903 Williams St
Angola, IN 46703-1167

Phone

(260) 665-9479

Fax

(260) 665-9470

NPI assigned

Nov 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Thomas Stevens, D.C.NPI 1568764496

Title

President

Phone

(260) 665-9479

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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

• Matthew Thomas Stevens, D.C.

  • Chiropractor
  • Angola, IN
  • NPI 1568764496
  Medicare reassignment NPD Authorized official
• Thomas Hale Stevens, D.C.

  • Chiropractor
  • Angola, IN
  • NPI 1659320778
  NPD

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1760855324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 WILLIAMS ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031167",
            "telephone_number": "260-665-9479",
            "fax_number": "260-665-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 WILLIAMS ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031167",
            "telephone_number": "260-665-9479",
            "fax_number": "260-665-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-665-9479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002549A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201277400",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steuben County Auditor
• Steuben County Auditor
• Steuben County Council on Aging, Inc
• Steuben Family Chiropractic LLC
• Stevens Chiropractic Center
• Matthew Thomas Stevens, D.C.
• Thomas Hale Stevens, D.C.
• Kayla Strawser
• Andrea Marie Strayer
• Ashley Elizabeth Stroop, ATC

• Chiropractor in Angola, IN
• Providers in Angola, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.