Individual provider Active NPI

Stacy J.V. Stadnik, D.C.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1780759878
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14947 Issued in TX
Practice address
22015 Ih 10 W Ste 206
San Antonio, TX 78257-2104
Phone
(253) 318-1091
NPI assigned
Nov 22, 2006
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14947 TX Primary

Addresses

Primary practice location

22015 Ih 10 W Ste 206
San Antonio, TX 78257-2104

Mailing address

22015 Ih 10 W Ste 206
San Antonio, TX 78257-2104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221107002563 TX Practitioner - Chiropractic 3779689864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22015 W Interstate 10
Suite 206
San Antonio, TX 78257-2104
Phone (210) 774-4861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Align Chiropractic and Wellness LLC Chiropractor CurrentSince Oct 26, 2022 Accepting new patients
Align Chiropractic and Wellness Chiropractor CurrentSince Oct 26, 2022 Accepting new patients

Locations

22015 W Interstate 10
Ste 206
San Antonio, TX 78257
Phone (210) 774-4861

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1780759878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22015 IH 10 W STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782572104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22015 IH 10 W STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782572104",
            "telephone_number": "253-318-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADNIK",
        "first_name": "STACY",
        "middle_name": "J.V.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.

Verify at the official NPI Registry.