Individual provider Active NPI

Brett G Stallings, DC

  • Chiropractor
  • Owensboro, KY
National Provider Identifier
1831176213
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3817 Issued in KY
Practice address
820 Chuck Gray CT
Owensboro, KY 42303-7362
Phone
(270) 685-5100
Fax
(270) 683-3100
NPI assigned
Dec 28, 2005
Last updated
May 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3817 KY Primary

Addresses

Primary practice location

820 Chuck Gray CT
Owensboro, KY 42303-7362

Mailing address

820 Chuck Gray CT
Owensboro, KY 42303-7362
Phone (270) 685-5100

Other identifiers 1

IdentifierTypeStateIssuer
85000495MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021000929 KY Practitioner - Chiropractic 3678766797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport
Medicare assignment
May accept Medicare assignment
Group practices
Stallings Chiropractic Center LLPGroup PAC ID 0648252304, 4 clinicians

Practice addresses (Care Compare)

820 Chuck Gray CT
Owensboro, KY 42303-7362
Phone (270) 685-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3817KYMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Stallings Chiropractic Center LLP Chiropractor CurrentSince Feb 1, 1996 Accepting new patients

Locations

820 Chuck Gray Ct
Owensboro, KY 42303
Phone (270) 685-5100

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1831176213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CHUCK GRAY CT",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037362",
            "telephone_number": "270-685-5100",
            "fax_number": "270-683-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CHUCK GRAY CT",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037362",
            "telephone_number": "270-685-5100",
            "fax_number": "270-683-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "BRETT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85000495",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.