Active NPI
Stacey Dawn King, DC
- Chiropractor
- Dallas, TX
National Provider Identifier
1831112028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8164
- Practice address
- 5101 Ross Ave
Dallas, TX 75206 - Phone
- (214) 370-3155
- Fax
- (214) 370-3165
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 8164 | TX | Primary |
Addresses
Primary practice location
5101 Ross Ave
Dallas, TX 75206
Mailing address
5101 Ross Ave
Dallas, TX 75206
Phone (214) 370-3155
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8164 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831112028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 ROSS AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "75206",
"telephone_number": "214-370-3155",
"fax_number": "214-370-3165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 ROSS AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "75206",
"telephone_number": "214-370-3155",
"fax_number": "214-370-3165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "STACEY",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.