Active NPI
Richard Stockmaster, D.C.
- Chiropractor
- Newport Beach, CA
National Provider Identifier
1003841743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-24927
- Practice address
- 4020 Birch St
Ste. 107
Newport Beach, CA 92660-2213 - Phone
- (949) 851-8700
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-24927 | CA | Primary |
Addresses
Primary practice location
4020 Birch St
Ste. 107
Newport Beach, CA 92660-2213
Mailing address
4020 Birch St
Ste. 107
Newport Beach, CA 92660-2213
Phone (949) 851-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC-24927 | Other | CA | CA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-24927 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003841743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 BIRCH ST",
"address_2": "STE. 107",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602213",
"telephone_number": "949-851-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 BIRCH ST",
"address_2": "STE. 107",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602213",
"telephone_number": "949-851-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKMASTER",
"first_name": "RICHARD",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-24927",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE",
"identifier": "DC-24927",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.