Gary J Staub, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

08001558 Issued in IN

Practice address

2600 Roosevelt Rd
Valparaiso, IN 46383-0970

Phone

(219) 464-7117

Fax

(219) 548-3908

NPI assigned

May 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841491586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SPECTACLE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463831056",
            "telephone_number": "219-464-7117",
            "fax_number": "219-548-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 ROOSEVELT RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463830970",
            "telephone_number": "219-464-7117",
            "fax_number": "219-548-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUB",
        "first_name": "GARY",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IN",
            "license": "08001558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Stanfel, RD, CDCES
• Whitney Stanfill, M.ED
• Lauren K. Stanford
• Stanley N. Blackman, O.D., P.C.
• Meagan Michele Starkey, MSW, LCSW
• Nicole Stavitz Stavitz, FNP-C
• Kathryn Ann Steiner, OTR
• Kristy Steiner
• Elaine M. Stenslik, MOT, OTR
• Kimberly C Stento, MS, LAT, ATC

• Rehabilitation Chiropractor in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Rehabilitation Chiropractor in Indiana

• 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.

Verify at the official NPI Registry.