Edward J Stockli, D C PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X007746-1 Issued in NY

Practice address

12 Cavalin Dr
Montgomery, NY 12549-2235

Phone

(845) 457-4447

Fax

(845) 457-1785

NPI assigned

Aug 22, 2005

Reactivated

Apr 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Edward J. Stockli, D.C., P.C.

  dba Cornerstone Chiropractic

  • Chiropractor
  • Montgomery, NY
  • NPI 1801182795
  Medicare reassignment NPD

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1073505368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CAVALIN DR",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492235",
            "telephone_number": "845-457-4447",
            "fax_number": "845-457-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CAVALIN DR",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492235",
            "telephone_number": "845-457-4447",
            "fax_number": "845-457-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKLI",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "D C PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2017-03-27",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007746-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Staples
• Kerry Steed
• Denise Lynn Stewart, MA, LMHC
• Jacqueline Stika
• Christian Edward Stockli, DC
• Donna Kay Stout, RN BS
• Rhonda B Suzzan, PT
• Sarah J Telgheder, OT
• The Last Optical LLC (the Last Optical)
• The Pastoral Counseling Center

• Chiropractor in Montgomery, NY
• Providers in Montgomery, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.