Active NPI
Stephen Henry Canuel, D.C
- Chiropractor
- West Melbourne, FL
National Provider Identifier
1902815921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8309
- Practice address
- 1070 S Wickham Rd
West Melbourne, FL 32904-1653 - Phone
- (321) 499-4608
- Fax
- (321) 499-4607
- NPI assigned
- Aug 7, 2006
- Last updated
- Jul 14, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8309 | FL | Primary |
Addresses
Primary practice location
1070 S Wickham Rd
West Melbourne, FL 32904-1653
Mailing address
1070 S Wickham Rd
West Melbourne, FL 32904-1653
Phone (321) 499-4608
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88004 | Other | FL | BCBS PROVIDER NUMBER |
| CH8309 | Other | FL | PROVIDER LISCENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH8309 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine State Physicians Group, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Canuel Chiropractic & Wellness Center
- Chiropractor
- W Melbourne, FL
- NPI 1427341973
-
dba Sunshine State Physicians Group
- Specialist
- Orlando, FL
- NPI 1346594868
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1902815921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 S WICKHAM RD",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329041653",
"telephone_number": "321-499-4608",
"fax_number": "321-499-4607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 S WICKHAM RD",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329041653",
"telephone_number": "321-499-4608",
"fax_number": "321-499-4607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANUEL",
"first_name": "STEPHEN",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "88004",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER LISCENSE NUMBER",
"identifier": "CH8309",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.