Active NPI
Jason William Stanton, DC
- Chiropractor
- Broussard, LA
National Provider Identifier
1780651240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1368
- Practice address
- 4027 Highway 90 E
Broussard, LA 70518-3509 - Phone
- (337) 837-7174
- Fax
- (337) 837-7176
- NPI assigned
- Mar 3, 2006
- Last updated
- Jul 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1368 | LA | Primary |
Addresses
Primary practice location
4027 Highway 90 E
Broussard, LA 70518-3509
Mailing address
800 W Main St
New Iberia, LA 70560-3536
Phone (337) 367-2567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150521001933 | AR | Practitioner - Chiropractic | 0941239024 | Practice locations: Imboden, AR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1049 A W 3Rd St
Imboden, AR 72434-9002
1049 A W 3Rd Street Box
547 Stanton Chiropractic
Imboden, AR 72434-9002
Phone (870) 869-0006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1368 | LA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryant Medical Group LLC | Past | Accepting new patients | |
| Virgil Bryant Management | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Physician
- New Iberia, LA
- NPI 1184112450
-
- Chiropractor
- New Iberia, LA
- NPI 1609186626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1780651240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W MAIN ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705603536",
"telephone_number": "337-367-2567",
"fax_number": "337-367-2578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4027 HIGHWAY 90 E",
"city": "BROUSSARD",
"state": "LA",
"postal_code": "705183509",
"telephone_number": "337-837-7174",
"fax_number": "337-837-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANTON",
"first_name": "JASON",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broussard, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.