Stefan Black DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034220 Issued in WA

Legal business name

STEFAN BLACK DC LLC

Practice address

8827 31St Ave SW # 1
Seattle, WA 98126-3718

Phone

(206) 841-4031

NPI assigned

May 21, 2012

Last updated

May 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stefan Richard Black, D.C.NPI 1114082401

Title

Owner

Phone

(206) 841-4031

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 3

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.

• Stefan Richard Black, DC

  • Chiropractor
  • Bellevue, WA
  • NPI 1114082401
  Medicare reassignment NPD Authorized official
• Joleen Denise Black, LMT

  • Acupuncturist
  • Seattle, WA
  • NPI 1104037860
  NPD (past)
• Madeline Mullikin

  • Massage Therapist
  • Seattle, WA
  • NPI 1063975050
  NPD (past)

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1801156179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8827 31ST AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263718",
            "telephone_number": "206-841-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8827 31ST AVE SW # 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263718",
            "telephone_number": "206-841-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFAN BLACK DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-841-4031",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Ann Steenis, MA 60900934
• Georgia Gianacos Steenis, PHARMD
• Karin Beth Steere, DPT
• Gary O. Steeves
• Mark Alexander Steeves, MD
• Stefanie K Hamamoto DDS PLLC (TLC Dental)
• Christopher Stefanile
• Jade Stefano, ND
• Jessica Marie Stefanovic, AUD TRAINEE
• Ksenija B Stefanovic, MD

• Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Chiropractor in Washington

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