Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
STANDIFER CHIROPRACTIC CLINIC, P.C.
Active
Organization
STANDIFER CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY SHAWN STANDIFER D.C. (OWNER)
(214) 623-0505
Entity
Organization
Contact information
Practice address
3314 W KIEST BLVD, DALLAS, TX 75233-2102
(214) 623-0505
(214) 623-0520
Mailing address
PO BOX 211251, DALLAS, TX 75211-4304
(214) 623-0505
(214) 623-0520
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8482
TX
111NN1001X
Nutrition Chiropractor
8482
TX
111NP0017X
Pediatric Chiropractor
8482
TX
111NR0200X
Radiology Chiropractor
8482
TX
111NR0400X
Rehabilitation Chiropractor
8482
TX
111NS0005X
Sports Physician Chiropractor
8482
TX
111NX0800X
Orthopedic Chiropractor
8482
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021GW
BCBS GROUP
TX
01
—
0073260
BCBS BLUE LINK
TX
01
—
1003821778
PERSONAL NPI
TX
01
—
106750
AMERIGROUP
TX
01
—
10862
PARKLAND
TX
05
—
141697602
—
TX
05
—
1463325-01
—
TX
01
—
7691324
AETNA
TX
01
—
8B8920
BCBS PERSONAL
TX
01
—
P00319103
MEDICARE RAILROAD
TX
Enumeration date
04/26/2007
Last updated
12/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up