Kenneth Maxwell Stading, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4256 Issued in CO

Practice address

6535 N Academy Blvd
Colorado Springs, CO 80918-8342

Phone

(719) 648-5923

Fax

(888) 502-7161

NPI assigned

Mar 28, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Back in Action Chiropractic LLC

  • Health Service Clinic/Center
  • Colorado Springs, CO
  • NPI 1043515505
  NPD (past)
• Dr. David Byers, Chiropractor, LLC

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1144521865
  NPD (past)

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1881983047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188342",
            "telephone_number": "719-648-5923",
            "fax_number": "888-502-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188342",
            "telephone_number": "719-648-5923",
            "fax_number": "888-502-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADING",
        "first_name": "KENNETH",
        "middle_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4256",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CO",
            "license": "4256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Stacey, DDS
• Timothy Francis Stacey, D.D.S.
• Kelly Ann Stack, RN
• Steven Stackhouse, PHARM.D.
• Jenifer Stacy-Bozarth
• Hannah Staes, DC
• Amy Stafford
• Carolina Stafford, LSW
• Keely Stafford
• Lindsay Ann Stafford, D.O.

• Chiropractor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.