Active NPI
Darci Jill Stotts, D.C
- Sports Physician Chiropractor
- San Angelo, TX
National Provider Identifier
1851319453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 5195
- Practice address
- 3402 Knickerbocker Rd.
San Angelo, TX 76904 - Phone
- (325) 949-8688
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 5195 | TX | Primary |
Addresses
Primary practice location
3402 Knickerbocker Rd.
San Angelo, TX 76904
Mailing address
3402 Knickerbocker Rd.
San Angelo, TX 76904
Phone (325) 949-8688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3184 Executive Dr
San Angelo, TX 76904-6802
Phone (325) 949-8688
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5195 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic of San Angelo, PC | Sports Physician | Current | Accepting new patients |
Locations
3184 Executive Dr
San Angelo, TX 76904
Phone (325) 949-8688
3402 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 949-8688
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 and National Provider Directory roles.
-
dba stotts chiropractic
- Sports Physician Chiropractor
- San Angelo, TX
- NPI 1174680607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1851319453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3402 KNICKERBOCKER RD.",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "76904",
"telephone_number": "325-949-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 KNICKERBOCKER RD.",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "76904",
"telephone_number": "325-949-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTTS",
"first_name": "DARCI",
"middle_name": "JILL",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "5195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
- Cynthia Stokes, RN, MSN, CNM
- Eugene Stokes, MD
- Samantha J Stokes, M.ED., LPC
- Stone Transit LLC
- Benjamin S. Storey, D.O.
- Ashley Nicole Stovall, MSN, APRN, FNP-C
- Stratford Hospital District (Arbor Terrace Health Care Center)
- Stratford Hospital District (Avir at Meadow Creek)
- Stratford Hospital District (Regency House)
- Michael Patrick Strayer, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.