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DR. STACY MAE CHILTON D.C.
NPI 1629308531
Chiropractor in Longview, WA

Active since December 29, 2009
811 11TH AVE, LONGVIEW, WA 98632(360) 423-3482 Get Directions Write a Review

NPPES record last updated: November 26, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stacy Mae Chilton D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACY MAE CHILTON D.C. (NPI 1629308531) is an individual chiropractor in Longview, Washington, licensed in Washington (CH60106639) and active in the NPI registry since December 2009. She is a graduate of Palmer College Chiropractic - Davenport (2008).

NPPES Registry Identity

NPI1629308531
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. STACY MAE CHILTONCredential: D.C.
Location Address811 11TH AVELongview, WA 98632-2462
Mailing Address811 11th AveLongview, WA 98632-2462 · (360) 423-3482
Phone(360) 423-3482
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2008
Enumeration DateDecember 29, 2009
Last NPPES UpdateNovember 26, 2014
✔ NPI 1629308531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH60106639
Definition
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.
811 11TH AVE, Longview, WA 98632
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Other Names 1

Former Name (1)Stacy Mae Bundrock

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacy Mae Chilton D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456535244
PECOS Enrollment IDI20110401000427

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN WARD L.M.P.
Massage Therapist
811 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-3482
SYNERGY HEALTH SOLUTIONS, PC
Chiropractor
811 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-3482
STACEY ANN WELKER
Massage Therapist
811 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-3482
CARLY SPROUL MP
Massage Therapist
811 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (503) 338-8826
SAFFRON AND ASSOCIATES
Durable Medical Equipment & Medical Supplies
811 11TH AVE, SUITE A
LONGVIEW, WA 98632
Cowlitz County (360) 423-6027
ANDREW LEVI SKILLETT
Specialist/Technologist (Athletic Trainer)
811 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-3482
ALEXIS REA MINIUM LMP
Massage Therapist
811 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-3482
WHITE CROSS ORTHOPEDIC
Durable Medical Equipment & Medical Supplies
811 11TH AVE, STE A
LONGVIEW, WA 98632
Cowlitz County (360) 423-6027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Chilton's NPI number?

The NPI number for Stacy Chilton is 1629308531. It was assigned to this individual provider in the NPPES registry on December 29, 2009. The provider is also known as Stacy Mae Bundrock.

Where is Stacy Chilton located?

Stacy Chilton practices at 811 11th Ave, Longview, WA 98632. The listed phone number is (360) 423-3482.

What is Stacy Chilton's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Stacy Chilton enrolled in Medicare?

Yes. Stacy Chilton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Chilton was last updated on November 26, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.