Active NPI
Stephen Stern, D.C.
- Chiropractor
- Millis, MA
National Provider Identifier
1821141938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 815
- Practice address
- 730 Main St Unit 2E
Millis, MA 02054-1612 - Phone
- (508) 376-9544
- Fax
- (508) 376-9545
- NPI assigned
- Jan 19, 2007
- Last updated
- Aug 22, 2019
- 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 | 815 | MA | Primary |
Addresses
Primary practice location
730 Main St Unit 2E
Millis, MA 02054-1612
Mailing address
730 Main St Unit 2E
Millis, MA 02054-1612
Phone (508) 376-9544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| STY35559 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 815 | MA | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1821141938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 MAIN ST UNIT 2E",
"city": "MILLIS",
"state": "MA",
"postal_code": "020541612",
"telephone_number": "508-376-9544",
"fax_number": "508-376-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 MAIN ST UNIT 2E",
"city": "MILLIS",
"state": "MA",
"postal_code": "020541612",
"telephone_number": "508-376-9544",
"fax_number": "508-376-9545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "STY35559",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Millis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.