Organization Active NPI

Capstone Healthcare. LLC

  • Rehabilitation Chiropractor
  • Killeen, TX
National Provider Identifier
1770736167
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
8758 Issued in TX
Legal business name
CAPSTONE HEALTHCARE. LLC
Practice address
1010 W Jasper Dr Ste 1
Killeen, TX 76542-1328
Phone
(254) 200-0401
Fax
(254) 200-0405
NPI assigned
Oct 29, 2008
Last updated
Oct 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Dr. Curtis Stacy III, D.C., F.I.A.M.A.NPI 1497908990
Title
Owner/Administrator
Phone
(254) 200-0041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 8758 TX Primary

Addresses

Primary practice location

1010 W Jasper Dr Ste 1
Killeen, TX 76542-1328

Mailing address

1010 W Jasper Dr Ste 1
Killeen, TX 76542-1328
Phone (254) 200-0401

Other identifiers 1

IdentifierTypeStateIssuer
C-06039379MedicaidTX

National Provider Directory

National Provider Directory

Locations

1010 W Jasper Dr
Ste 1
Killeen, TX 76542
Phone (254) 200-0401

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": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1770736167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W JASPER DR STE 1",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421328",
            "telephone_number": "254-200-0401",
            "fax_number": "254-200-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W JASPER DR STE 1",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421328",
            "telephone_number": "254-200-0401",
            "fax_number": "254-200-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE HEALTHCARE. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "STACY",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "254-200-0041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C., F.I.A.M.A."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "8758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C-06039379",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.