Standing Tall Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

STANDING TALL CHIROPRACTIC, INC.

Practice address

1462 NE Cushing Dr Ste 180
Bend, OR 97701-9103

Phone

(541) 241-2975

NPI assigned

Mar 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Dale EllweinNPI 1386854263

Title

President

Phone

(541) 241-5072

Specialties & licenses 1

Addresses

Other names 1

• Standing Tall Chiropractic Former legal business name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dale Jersome Ellwein, D.C.

  • Chiropractor
  • Bend, OR
  • NPI 1386854263
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1962097212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 NE CUSHING DR STE 180",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 NE CUSHING DR STE 180",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019103",
            "telephone_number": "541-241-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDING TALL CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "ELLWEIN",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-241-5072",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Standing Tall Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Standing Tall Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michael L Stahly, FNP
• Katherine Stahrr, DDS
• Cathy Anne Staley, L.M.T.
• James Davidson Stalker, M.S.W
• Donna L Stancil, LAC
• Breana Judith Stanford
• Elizabeth Ann Stanley, LMT, PH D.
• Maria Graciela Stanley
• Sarah Ann Stanley
• Dawn Marie Stanton

• Chiropractor in Bend, OR
• Providers in Bend, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.