Organization Active NPI

Stafford Chiropractic

Doing business as HealthSource of New Berlin

  • Chiropractor
  • New Berlin, WI
National Provider Identifier
1871620310
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3258 Issued in WI
Legal business name
STAFFORD CHIROPRACTIC
Doing business as
HealthSource of New Berlin
Practice address
16646 W National Ave
New Berlin, WI 53151-5516
Phone
(414) 543-1951
Fax
(262) 785-9887
NPI assigned
Feb 28, 2007
Last updated
Apr 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Dr. Michelle Stafford, D.C.NPI 1477510949
Title
Chiropractor Owner
Phone
(414) 543-1951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3258 WI Primary

Addresses

Primary practice location

16646 W National Ave
New Berlin, WI 53151-5516

Mailing address

16646 W National Ave
New Berlin, WI 53151-5516
Phone (414) 543-1951

Other identifiers 1

IdentifierTypeStateIssuer
38921800MedicaidWI

Other names 1

  • HealthSource of New Berlin Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051209000290 WI Part B Supplier - Clinic/Group Practice 7618998337 Receives reassigned benefits from 1 practitioner
Practice locations: New Berlin, WI

National Provider Directory

National Provider Directory

Locations

14775 W National Ave
New Berlin, WI 53151
Phone (262) 785-1811

16646 W National Ave
New Berlin, WI 53151
Phone (414) 543-1951

3333 S Sunny Slope Rd
Ste 108
New Berlin, WI 53151
Phone (262) 317-9660

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1871620310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16646 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515516",
            "telephone_number": "414-543-1951",
            "fax_number": "262-785-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16646 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515516",
            "telephone_number": "414-543-1951",
            "fax_number": "262-785-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "414-543-1951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38921800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of New Berlin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.