Organization Active NPI

Staggers Chiropractic Wellness Center Inc

  • Clinic/Center
  • Griffith, IN
National Provider Identifier
1871732164
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
08002399A Issued in IN
Legal business name
STAGGERS CHIROPRACTIC WELLNESS CENTER INC
Practice address
801 W Glen Park Ave
Griffith, IN 46319-2087
Phone
(219) 924-2112
Fax
(219) 924-2113
NPI assigned
Feb 11, 2009
Last updated
Mar 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Shenita Staggers, D.C.
Title
President
Phone
(219) 924-2112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 08002399A IN Primary

Addresses

Primary practice location

801 W Glen Park Ave
Griffith, IN 46319-2087

Mailing address

801 W Glen Park Ave
Griffith, IN 46319-2087
Phone (219) 924-2112

Other identifiers 1

IdentifierTypeStateIssuer
259520OtherINMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1871732164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W GLEN PARK AVE",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463192087",
            "telephone_number": "219-924-2112",
            "fax_number": "219-924-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W GLEN PARK AVE",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463192087",
            "telephone_number": "219-924-2112",
            "fax_number": "219-924-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAGGERS CHIROPRACTIC WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "STAGGERS",
        "authorized_official_first_name": "SHENITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-924-2112",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "08002399A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "259520",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffith, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.