Organization Active NPI

Stallings Chiropractic Center LLP

  • Chiropractor
  • Owensboro, KY
National Provider Identifier
1962699249
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3817 Issued in KY
Legal business name
STALLINGS CHIROPRACTIC CENTER LLP
Practice address
820 Chuck Gray CT
Owensboro, KY 42303-7362
Phone
(270) 685-5100
Fax
(270) 683-3100
NPI assigned
Oct 1, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Brett G. Stallings, D.C.NPI 1831176213
Title
Owner
Phone
(270) 685-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 8

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040605000009 KY Part B Supplier - Clinic/Group Practice 0648252304 Receives reassigned benefits from 4 practitioners
Practice locations: Owensboro, KY

National Provider Directory

National Provider Directory

Locations

820 Chuck Gray Ct
Owensboro, KY 42303
Phone (270) 685-5100

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3817 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

820 Chuck Gray CT
Owensboro, KY 42303-7362

Mailing address

820 Chuck Gray CT
Owensboro, KY 42303-7362
Phone (270) 685-5100

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
85000495MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2014.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1962699249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CHUCK GRAY CT",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037362",
            "telephone_number": "270-685-5100",
            "fax_number": "270-683-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CHUCK GRAY CT",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037362",
            "telephone_number": "270-685-5100",
            "fax_number": "270-683-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALLINGS CHIROPRACTIC CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-685-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85000495",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.