Austin Joshua Stivison, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CHIA-2111 Issued in ID

Practice address

2145 N Main St
Coeur D Alene, ID 83814-5768

Phone

(208) 298-9169

NPI assigned

Oct 16, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Austin Joshua Stivison Professional name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tessendorf Family Chiropractic, LLC

  • Chiropractor
  • Hayden, ID
  • NPI 1548681521
  Medicare reassignment NPD
• Adapt Spine & Sport

  • Chiropractor
  • Coeur D Alene, ID
  • NPI 1629961453
  NPD Authorized official

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749859200000",
    "number": "1982246336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 N MAIN ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145768",
            "telephone_number": "208-298-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 N MAIN ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145768",
            "telephone_number": "208-298-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIVISON",
        "first_name": "AUSTIN",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-16",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WA",
            "license": "CH61004790",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "ID",
            "license": "CHIA-2111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUSTIN",
            "last_name": "STIVISON",
            "middle_name": "JOSHUA",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Still Waters Occupational Therapy, PLLC
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• Michelle Ann Stimak, FNP-BC
• Lindsey Stirton
• Robert Irving Stockton, D.D.S.
• Charlene R Stoddard, D.C.
• Samantha Lynn Stolzel, D.C., M.S.
• Jared Stone, LMSW
• Dale Justin Stormogipson, M.D.

• Rehabilitation Chiropractor in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Rehabilitation Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; 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.