Michael Stern, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH14389 Issued in FL

Practice address

19344 Bad George Rd
Summerland Key, FL 33042-3209

Phone

(305) 731-5563

NPI assigned

Feb 10, 2023

Last updated

Feb 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southernmost Sports Chiropractic LLC

  • Chiropractor
  • Summerland Key, FL
  • NPI 1821882861
  NPD Authorized official

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1780381749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19344 BAD GEORGE RD",
            "city": "SUMMERLAND KEY",
            "state": "FL",
            "postal_code": "330423209",
            "telephone_number": "305-731-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19344 BAD GEORGE RD",
            "city": "SUMMERLAND KEY",
            "state": "FL",
            "postal_code": "330423209",
            "telephone_number": "305-731-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22384",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Island Mind Wellness LLC
• Altrimese McGlockton
• Amy Naish
• Madeline Paulich
• Southernmost Sports Chiropractic LLC
• Summerland Dental Professional Association
• Linda Swift, P.T.
• William L Tycoliz Jr., DDS
• Michelle Marie Wischmeyer, DOM, LMT

• Chiropractor in Summerland Key, FL
• Providers in Summerland Key, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.