Brian Douglas Stanley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIC297 Issued in AK

Practice address

546 N Main St
Wasilla, AK 99654-7019

Phone

(907) 376-2600

Fax

(907) 376-2605

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2016.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1912072000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 N MAIN ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547019",
            "telephone_number": "907-376-2600",
            "fax_number": "907-376-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 N MAIN ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547019",
            "telephone_number": "907-376-2600",
            "fax_number": "907-376-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "BRIAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "CHIC297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH02971",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette Stack, LMP
• Tamara O Stadem, L.P.C.
• James O Staengel
• Jean Jacqueline Stanefski, P.T.
• Stanley Health Clinics PC
• Erika Lea Stannard, PSYD
• Scott C Stanton, MDIV., BCC
• Nichole Starace
• Starfish Cares LLC
• Starfish Cares LLC

• All providers in Wasilla, AK
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.