Organization Active NPI

Stephens Chiropractic LLC

  • Chiropractor
  • Warrensburg, MO
National Provider Identifier
1962706598
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006660 Issued in MO
Legal business name
STEPHENS CHIROPRACTIC LLC
Practice address
111 W Gay St
Warrensburg, MO 64093-1715
Phone
(660) 429-2771
Fax
(660) 429-4807
NPI assigned
Dec 22, 2010
Last updated
Dec 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Mrs. Sarah Elizabeth Stephens, D.C.NPI 1326034109
Title
Sole MBR
Phone
(660) 429-2771

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006660 MO Primary

Addresses

Primary practice location

111 W Gay St
Warrensburg, MO 64093-1715

Mailing address

111 W Gay St
Warrensburg, MO 64093-1715
Phone (660) 429-2771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110127001038 MO Part B Supplier - Clinic/Group Practice 3779762323 Receives reassigned benefits from 2 practitioners
Practice locations: Warrensburg, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1962706598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W GAY ST",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931715",
            "telephone_number": "660-429-2771",
            "fax_number": "660-429-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W GAY ST",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931715",
            "telephone_number": "660-429-2771",
            "fax_number": "660-429-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "660-429-2771",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.