DR. SHEA STARK (NPI# 1639568405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639568405 |
| Entity Type | Individual |
| Full Name | DR. SHEA STARK |
| Credential | DC |
| Practice Address |
8757 Jackrabbit Ln Belgrade MT 59714-7900 |
| Practice Telephone | 4063889915 |
| Practice Fax Number | 4063889916 |
| Mailing Telephone | 4063889915 |
| Mailing Fax Number | 4063889916 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHI-CHI-LIC-3454 | MT | Chiropractic Providers |
| Street Address |
8757 JACKRABBIT LN |
| City | BELGRADE |
| State | MT |
| Zip Code | 59714-7900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154496875 | Jill A Sippos | Physical Therapist | 8757 Jackrabbit Ln, Belgrade, MT 59714-7900 | 2006-11-21 |
| 1003238114 | Ashlee Yerrick | Chiropractor | 8757 Jackrabbit Ln, Belgrade, MT 59714-7900 | 2014-01-08 |
| 1003189408 | Evolve Massage | Health Maintenance Organization | 8757 Jackrabbit Ln, Suite C, Belgrade, MT 59714-7900 | 2012-02-15 |
| 1922376219 | Sophia Christina Heckman | Massage Therapist | 8757 Jackrabbit Ln, Suite C, Belgrade, MT 59714-7900 | 2011-12-01 |
| 1285826826 | Big Sky Spinal Care Center, Inc. | Clinic/Center | 8757 Jackrabbit Ln, Suite B, Belgrade, MT 59714-7900 | 2007-08-17 |
| 1801915475 | William David Bradley | Chiropractor | 8757 Jackrabbit Ln, Suite A, Belgrade, MT 59714-7900 | 2007-03-28 |
| 1326199688 | Jonathan M Wilhelm | Chiropractor | 8757 Jackrabbit Ln, Suite A, Belgrade, MT 59714-7900 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467982603 | Ryan Schwartzmeyer | Counselor | 129 Village Square Dr. Ste 103b, Belgrade, MT 59714 | 2017-06-19 |
| 1770016834 | Nicolais Cuyle | Counselor | 11 W Main St Ste 211, Belgrade, MT 59714 | 2017-04-06 |
| 1245615111 | Samantha Lee Doolittle | Speech-Language Pathologist | Mosaic Rehabilitation, 6325 Jackrabbit Ln #a, Belgrade, MT 59714 | 2015-07-21 |
| 1932521853 | Jazmin Price | Midwife | 101 Clinton Ln, Belgrade, MT 59714 | 2014-01-11 |
| 1750666871 | Melaney Swenson | Social Worker | 11 W Main St Ste B3, Belgrade, MT 59714 | 2011-10-20 |
| 1932338126 | Megan Elizabeth Hoover | Physical Therapist | 403 West Main, Suite B, Belgrade, MT 59714 | 2009-07-08 |
| 1033318530 | Prochiropractic, PC | Chiropractor | 8757 N Jackrabbit Lane, Belgrade, MT 59714 | 2007-07-13 |
| 1497872139 | Howard Steven Moore Jr. | Counselor | 206 North Broadway St., Belgrade, MT 59714 | 2007-03-26 |
| 1558422071 | Danny Douglas Satchell | Chiropractor | 321 West Main Street, Belgrade, MT 59714 | 2006-12-12 |
| 1700821980 | Cade Jason Taylor | Chiropractor | 129 Village Drive, Suite 104, Belgrade, MT 59714 | 2006-06-19 |
| Find all providers in zip 59714 | ||||
| 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 |
|---|---|---|---|---|
| 1770895427 | Jeffrey Edward Feenstra | Chiropractor | 8757 Jackrabbit Ln Ste A, Belgrade, MT 59714-7900 | 2010-07-10 |
| 1033318530 | Prochiropractic, PC | Chiropractor | 8757 N Jackrabbit Lane, Belgrade, MT 59714 | 2007-07-13 |
| 1376746560 | Brian Gregory Jensen | Chiropractor | 6300 Jackrabbit Ln, Ste 1, Belgrade, MT 59714-8967 | 2007-06-06 |
| 1558422071 | Danny Douglas Satchell | Chiropractor | 321 West Main Street, Belgrade, MT 59714 | 2006-12-12 |
| 1649386046 | Belgrade Chiropractic Inc | Chiropractor | 227 Spooner Rd, Suite #b, Belgrade, MT 59714-7813 | 2006-08-21 |
| 1164443396 | Taylord Spines | Chiropractor | 129 Village Dr, Suite 104, Belgrade, MT 59714-9618 | 2006-07-22 |
| 1700821980 | Cade Jason Taylor | Chiropractor | 129 Village Drive, Suite 104, Belgrade, MT 59714 | 2006-06-19 |
| 1790384295 | C'aira Nicole Satchell | Chiropractor | 321 W Main St, Belgrade, MT 59714-3410 | 2020-10-26 |
| 1366083966 | Kole Satchell | Chiropractor | 321 W Main St, Belgrade, MT 59714-3410 | 2019-10-04 |
| 1225693955 | Forrest Allen | Chiropractor | 8757 Jackrabbit Ln Ste A, Belgrade, MT 59714-7900 | 2019-05-08 |
| Find all providers in BELGRADE | ||||
Please comment or provide details below to improve the information on DR. SHEA STARK.
| 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.