Individual provider Active NPI

Stacy Peters Harris, DC

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1811902125
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TX5222 Issued in TX
Practice address
709 East Loop 820
Fort Worth, TX 76120
Phone
(817) 451-7979
Fax
(817) 451-7545
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X TX5222 TX Primary

Addresses

Primary practice location

709 East Loop 820
Fort Worth, TX 76120

Mailing address

709 East Loop 820
Fort Worth, TX 76120
Phone (817) 451-7979

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060113000144 TX Practitioner - Chiropractic 6305863291 Reassigns benefits to 1 organization
Practice locations: Fort Worth, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health and Therapy CentersGroup PAC ID 7517338221, 12 clinicians

Practice addresses (Care Compare)

5521 Bellaire Dr S
Fort Worth, TX 76109-5855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TX5222TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health and Therapy Centers Chiropractor CurrentSince Aug 1, 2022 Accepting new patients
Precision Health Clinic PLLC Current Accepting new patients
Interventional Consultants of Texas PLLC Past Accepting new patients
Fine Spine LLC Chiropractor Past Accepting new patients

Locations

5521 Bellaire Dr S
Ste 114
Ft Worth, TX 76109
Phone (817) 451-7979

5521 Bellaire Dr S
Ste 110
Ft Worth, TX 76109
Phone (817) 926-9642

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1811902125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 EAST LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76120",
            "telephone_number": "817-451-7979",
            "fax_number": "817-451-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 EAST LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76120",
            "telephone_number": "817-451-7979",
            "fax_number": "817-451-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STACY",
        "middle_name": "PETERS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "TX5222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.