Individual provider Active NPI

Mitchell Everaert Stanlick, D.C.

  • Chiropractor
  • Murfreesboro, TN
National Provider Identifier
1932151834
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1976 Issued in TN
Practice address
1451 Battleground Dr
Murfreesboro, TN 37129-1751
Phone
(615) 907-7400
Fax
(615) 907-7435
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1976 TN Primary

Addresses

Primary practice location

1451 Battleground Dr
Murfreesboro, TN 37129-1751

Mailing address

241 W Northfield Blvd
Murfreesboro, TN 37129-1506
Phone (615) 907-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823000087 TN Practitioner - Chiropractic 1254305626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mitchell Stanlick, D.C., LLCGroup PAC ID 0547234908, 3 clinicians

Practice addresses (Care Compare)

241 W Northfield Blvd
B
Murfreesboro, TN 37129-1506
Phone (615) 907-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1976TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Stanlick, D.C., LLC Chiropractor CurrentSince Jul 1, 2004 Accepting new patients
Dynamic Chiropractic Clinics Chiropractor CurrentSince Dec 10, 2023 Accepting new patients
Dynamic Chiropractic Clinics Chiropractor CurrentSince Dec 2, 2020 Accepting new patients

Locations

1451 Battleground Dr
Murfreesboro, TN 37129
Phone (615) 907-7400

241 W Northfield Blvd
Murfreesboro, TN 37129
Phone (615) 907-7400

241 W Northfield Blvd
Ste B
Murfreesboro, TN 37129

3918 Cedar Glades Dr
Murfreesboro, TN 37128
Phone (615) 907-7490

241 W Northfield Blvd
#B
Murfreesboro, TN 37129
Phone (615) 907-7400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1932151834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W NORTHFIELD BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291506",
            "telephone_number": "615-907-7400",
            "fax_number": "615-907-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 BATTLEGROUND DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291751",
            "telephone_number": "615-907-7400",
            "fax_number": "615-907-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLICK",
        "first_name": "MITCHELL",
        "middle_name": "EVERAERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.