DR. DOUGLAS STAKES (NPI# 1104937028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104937028 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS STAKES |
| Credential | D.C. |
| Practice Address |
4604 S. Lamar Blvd E-101 Austin TX 78736-1347 |
| Mailing Address |
4604 S. Lamar Blvd. E-101 Austin TX 78736-1347 |
| Practice Telephone | 5128922160 |
| Practice Fax Number | 5128927309 |
| Mailing Telephone | 5128922160 |
| Mailing Fax Number | 5128927309 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 483 | LA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 2312 | OK | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 2943 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 6001179 | 01 |
| TX | RAILROAD MEDICARE | 350005894 | 01 |
| Street Address |
4604 S. LAMAR BLVD E-101 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78736-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902273725 | Legacy Oaks Al, LLC | Assisted Living Facility | 7501 W. Highway 290, Austin, TX 78736 | 2015-08-27 |
| 1033504980 | Sw Austin Assisted Living, LLC | Assisted Living Facility | 7501 West Highway 290, Austin, TX 78736 | 2015-03-30 |
| 1184016032 | Icb Enterprises Corporation | In Home Supportive Care | 11183 Circle Dr, Suite C, Austin, TX 78736 | 2015-03-02 |
| 1548695034 | Choice Homecare of Nacogdoches LLC | Home Health | 11183 Circle Dr Ste C, Austin, TX 78736 | 2013-09-04 |
| 1407192008 | Sarah Deluca | Social Worker | 10200 Highway 290 W, Austin, TX 78736 | 2012-12-31 |
| 1508352188 | Kara Lucas Counseling Pllc | Counselor | 6626 Silvermine Dr Ste 600, Austin, TX 78736 | 2018-07-06 |
| 1437325495 | Beth Faulkner Jewell | Counselor | 8311 Red Willow Dr, Austin, TX 78736-1721 | 2008-04-30 |
| 1932531092 | Maya Lujan | Psychologist | 7306 Scenic Brook Dr, Austin, TX 78736-1723 | 2013-07-31 |
| 1174139794 | Julie Jackson | Counselor | 8208 Farmington Ct, Austin, TX 78736-1744 | 2020-09-18 |
| 1073934071 | Elizabeth Heyl | Counselor | 6626 Silvermine Dr Ste 600, Austin, TX 78736-1786 | 2013-12-18 |
| Find all providers in zip 78736 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326546 | Haydn Storey | Chiropractor | 1807 W Slaughter Ln Ste 450, Austin, TX 78748-6269 | 2020-11-03 |
| 1336748797 | Zachary James Foreman | Chiropractor | 7900 Fm 1826 Ste 100, Austin, TX 78737-1410 | 2020-10-18 |
| 1497371827 | Abbie Lynn Hunt | Chiropractor | 820 Camino Vaquero Pkwy Apt 10106, Austin, TX 78748-3320 | 2020-06-22 |
| 1982237814 | Jared Covarrubias | Chiropractor | 4500 Steiner Ranch Blvd Apt 910, Austin, TX 78732-2313 | 2020-02-19 |
| 1396375606 | Brandon Ramakko | Chiropractor | 827 W 12th St Ste 2, Austin, TX 78701-1701 | 2020-01-26 |
| 1356980296 | Kristin Nicole Paouncic | Chiropractor | 1300 E Riverside Dr Apt D612, Austin, TX 78741-1215 | 2019-12-23 |
| 1962059576 | Gray Ellison Humphries | Chiropractor | 11800 N Interstate 35, Austin, TX 78753-2211 | 2019-08-20 |
| 1659937340 | Vinh Doan | Chiropractor | 12343 Hymeadow Dr Ste 2j, Austin, TX 78750-1830 | 2019-05-17 |
| 1689239212 | Shawn K Small | Chiropractor | 500 N Capital of Texas Hwy Bldg 125, Austin, TX 78746-3359 | 2019-05-09 |
| 1912464082 | Alexis Maire Dobson | Chiropractor | 4419 Frontier Trl Ste 106, Austin, TX 78745-1567 | 2019-02-25 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.