Organization Active NPI

Stone Wellness, Inc.

  • Chiropractor
  • Hampton, IL
National Provider Identifier
1790036499
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011910 Issued in IL
Legal business name
STONE WELLNESS, INC.
Practice address
510 State Ave
#3
Hampton, IL 61256-9690
Phone
(309) 751-9790
Fax
(309) 751-9792
NPI assigned
Sep 21, 2012
Last updated
Sep 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Dr. Laura L. Stone, D.C.NPI 1245515071
Title
President
Phone
(309) 751-9790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011910 IL Primary

Addresses

Primary practice location

510 State Ave
#3
Hampton, IL 61256-9690

Mailing address

510 State Ave
#3
Hampton, IL 61256-9690
Phone (309) 751-9790

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130531000193 IL Part B Supplier - Clinic/Group Practice 6305084492 Receives reassigned benefits from 1 practitioner
Practice locations: Hampton, IL

National Provider Directory

National Provider Directory

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": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1790036499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 STATE AVE",
            "address_2": "#3",
            "city": "HAMPTON",
            "state": "IL",
            "postal_code": "612569690",
            "telephone_number": "309-751-9790",
            "fax_number": "309-751-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 STATE AVE",
            "address_2": "#3",
            "city": "HAMPTON",
            "state": "IL",
            "postal_code": "612569690",
            "telephone_number": "309-751-9790",
            "fax_number": "309-751-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-751-9790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.