Robert Anton Stalder, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00033897 Issued in WA

Practice address

1708 Yakima Ave
Ste 110
Tacoma, WA 98405-5307

Phone

(253) 593-8449

Fax

(253) 502-5977

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tacoma Chiropractic Center LLCGroup PAC ID 9436200458, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tacoma Chiropractic Center LLC

  • Chiropractor
  • Tacoma, WA
  • NPI 1710121322
  Medicare reassignment Care Compare group NPD Authorized official
• Tacoma Chiropractic Center LLC

  dba Excel Chiropractic and Massage Therapy Center

  • Chiropractor
  • Seattle, WA
  • NPI 1861916488
  NPD Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1932118346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 YAKIMA AVE",
            "address_2": "STE 110",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055307",
            "telephone_number": "253-593-8449",
            "fax_number": "253-502-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 YAKIMA AVE",
            "address_2": "STE 110",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055307",
            "telephone_number": "253-593-8449",
            "fax_number": "253-502-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALDER",
        "first_name": "ROBERT",
        "middle_name": "ANTON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "143241",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8374191",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "143076",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8930017",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ted Joe Stagner
• Sophia Stahl, BA
• Kelsey Stahlke
• Owen Stailey, CRNA
• Cessalie Richelle Stalder, DC
• Christopher Staley, D.O.
• Syneva Staley, RN
• Audra Stallard
• Tia L Stallard, LCSW
• April Stallings

• Chiropractor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.