Enhanced Health Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ENHANCED HEALTH CHIROPRACTIC, LLC

Practice address

4651 W Richland Plaza Dr Ste P
Bloomington, IN 47404-9777

Phone

(812) 821-1783

NPI assigned

Jul 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Stahl, DCNPI 1386014983

Title

President/Doctor

Phone

(812) 821-1783

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Samantha Stahl, D.C

  • Chiropractor
  • Danville, IN
  • NPI 1386014983
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1780236356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 W RICHLAND PLAZA DR STE P",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 W RICHLAND PLAZA DR STE P",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049777",
            "telephone_number": "812-821-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED HEALTH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "812-821-1783",
        "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": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.