Organization Active NPI

Stouder Chiropractic, Inc

  • Chiropractor
  • Troy, OH
National Provider Identifier
1972789816
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3243 Issued in OH
Legal business name
STOUDER CHIROPRACTIC, INC
Practice address
1100 Wayne St
Suite 1460
Troy, OH 45373-3048
Phone
(937) 335-8534
Fax
(937) 335-4546
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Dr. Richard Edwin Myers, D.C.NPI 1609890821
Title
President
Phone
(937) 335-8534

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 3243 OH Primary

Addresses

Primary practice location

1100 Wayne St
Suite 1460
Troy, OH 45373-3048

Mailing address

1100 Wayne St
Suite 1460
Troy, OH 45373-3048
Phone (937) 335-8534

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721001492 OH Part B Supplier - Clinic/Group Practice 0446230338 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1972789816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WAYNE ST",
            "address_2": "SUITE 1460",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733048",
            "telephone_number": "937-335-8534",
            "fax_number": "937-335-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WAYNE ST",
            "address_2": "SUITE 1460",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733048",
            "telephone_number": "937-335-8534",
            "fax_number": "937-335-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOUDER CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-335-8534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

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