Organization Active NPI

Mathew K Stockstad, DC, PA

  • Chiropractor
  • Asheville, NC
National Provider Identifier
1043494511
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1880 Issued in NC
Legal business name
MATHEW K STOCKSTAD, DC, PA
Practice address
16 Winterwind Dr
Asheville, NC 28803-9606
Phone
(828) 299-4555
Fax
(828) 299-4121
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mathew Karl Stockstad, D.C.NPI 1538118914
Title
Principle
Phone
(828) 299-4555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1880 NC Primary

Addresses

Primary practice location

16 Winterwind Dr
Asheville, NC 28803-9606

Mailing address

16 Winterwind Dr
Asheville, NC 28803-9606
Phone (828) 299-4555

Other names 1

  • Chriopractic Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080211000192 NC Part B Supplier - Clinic/Group Practice 3476636796 Receives reassigned benefits from 1 practitioner
Practice locations: Asheville, NC

National Provider Directory

National Provider Directory

Locations

16 Winterwind Dr
Asheville, NC 28803
Phone (828) 299-4555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1043494511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WINTERWIND DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288039606",
            "telephone_number": "828-299-4555",
            "fax_number": "828-299-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WINTERWIND DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288039606",
            "telephone_number": "828-299-4555",
            "fax_number": "828-299-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHEW K STOCKSTAD, DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "STOCKSTAD",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "828-299-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chriopractic Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.