Individual provider Active NPI

Jerry Stokes, DC

  • Chiropractor
  • Richardson, TX
National Provider Identifier
1053813840
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13700 Issued in TX
Practice address
2929 N Central Expy Ste 310
Richardson, TX 75080-2046
Phone
(985) 510-1973
NPI assigned
Mar 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13700 TX Primary

Addresses

Primary practice location

2929 N Central Expy Ste 310
Richardson, TX 75080-2046

Mailing address

2929 N Central Expy Ste 310
Richardson, TX 75080-2046
Phone (214) 484-3236

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180321002644 TX Practitioner - Chiropractic 1456613975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Touch Chiropractic and Wellness Group, PLLCGroup PAC ID 7618334780, 3 clinicians

Practice addresses (Care Compare)

2929 N Central Expy
Suite 310
Richardson, TX 75080-2046
Phone (214) 484-3236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13700TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Touch Chiropractic and Wellness Group, PLLC Chiropractor CurrentSince Jan 24, 2023 Accepting new patients

Locations

2929 N Central Expy
Ste 310
Richardson, TX 75080
Phone (214) 484-3236

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1053813840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 N CENTRAL EXPY STE 310",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802046",
            "telephone_number": "214-484-3236",
            "fax_number": "214-730-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 N CENTRAL EXPY STE 310",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802046",
            "telephone_number": "985-510-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-07",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.