Individual provider Active NPI

Rex Dion Stanley, D.C.

  • Chiropractor
  • Dodge City, KS
National Provider Identifier
1932643137
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05824 Issued in KS
Practice address
2200 Summerlon Cir
Suite D
Dodge City, KS 67801-2900
Phone
(620) 225-4139
Fax
(620) 225-4286
NPI assigned
Dec 7, 2016
Last updated
Dec 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05824 KS Primary

Addresses

Primary practice location

2200 Summerlon Cir
Suite D
Dodge City, KS 67801-2900

Mailing address

2200 Summerlon Cir
Suite D
Dodge City, KS 67801-2900
Phone (620) 225-4139

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161216000061 KS Practitioner - Chiropractic 2062792666 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phillips Chiropractic P.a. Chiropractor CurrentSince Dec 9, 2016 Accepting new patients
Phillips Chiropractic P.a. CurrentSince Dec 9, 2016 Accepting new patients

Locations

2200 Summerlon Cir
Ste D
Dodge City, KS 67801
Phone (620) 225-4139

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.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1932643137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SUMMERLON CIR",
            "address_2": "SUITE D",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012900",
            "telephone_number": "620-225-4139",
            "fax_number": "620-225-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SUMMERLON CIR",
            "address_2": "SUITE D",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012900",
            "telephone_number": "620-225-4139",
            "fax_number": "620-225-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "REX",
        "middle_name": "DION",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.

Verify at the official NPI Registry.