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DR. STEPHAN PAUL EDISS D.C.
NPI 1669521324
Chiropractor in Douglas, WY

Active since January 10, 2007
1330 E. RICHARDS, DOUGLAS, WY 82633(307) 358-3147(307) 358-3213 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephan Paul Ediss D.c. NPPES

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

DR. STEPHAN PAUL EDISS D.C. (NPI 1669521324) is an individual chiropractor in Douglas, Wyoming, licensed in Wyoming (574) and active in the NPI registry since January 2007. He is a graduate of Los Angeles College Of Chiropractic (1992).

NPPES Registry Identity

NPI1669521324
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. STEPHAN PAUL EDISSCredential: D.C.
Location Address1330 E. RICHARDSDouglas, WY 82633
Mailing AddressPo Box 902, 1330 E. RichardsDouglas, WY 82633-0902 · (307) 358-3147 · Fax (307) 358-3213
Phone(307) 358-3147
Fax(307) 358-3213
Sole ProprietorNo
Medical School CMSLos Angeles College Of ChiropracticGraduated 1992
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
✔ NPI 1669521324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WY · 574
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.
1330 E. RICHARDS, Douglas, WY 82633
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

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. Stephan Paul Ediss D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446411268
PECOS Enrollment IDI20120420000593

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
323 services72 patients

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 Stephan Ediss's NPI number?

The NPI number for Stephan Ediss is 1669521324. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Stephan Ediss located?

Stephan Ediss practices at 1330 E. Richards, Douglas, WY 82633. The listed phone number is (307) 358-3147.

What is Stephan Ediss's specialty?

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

Is Stephan Ediss enrolled in Medicare?

Yes. Stephan Ediss is registered in the Medicare PECOS enrollment system.

What insurance does Stephan Ediss accept?

Health plans from Blue Cross Blue Shield of Wyoming list Stephan Ediss as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephan Ediss was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.