NPIMap

Organization Active NPI

Stockdale Chiropractic Clinic, Inc

  • Chiropractor
  • Bakersfield, CA
National Provider Identifier
1093892309
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STOCKDALE CHIROPRACTIC CLINIC, INC
Practice address
4550 Coffee Rd
Ste. H
Bakersfield, CA 93308-5023
Phone
(661) 587-0700
Fax
(661) 587-0799
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kenneth Eric Tryggestad, D.C.
Title
Owner
Phone
(661) 587-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4550 Coffee Rd
Ste. H
Bakersfield, CA 93308-5023

Mailing address

7916 Hilliard Ave
Las Vegas, NV 89128-6782
Phone (661) 747-1210

National Provider Directory

National Provider Directory

Locations

4550 Coffee Rd
Ste H
Bakersfield, CA 93308
Phone (661) 587-0700

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093892309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 HILLIARD AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286782",
            "telephone_number": "661-747-1210",
            "fax_number": "702-242-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 COFFEE RD",
            "address_2": "STE. H",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085023",
            "telephone_number": "661-587-0700",
            "fax_number": "661-587-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKDALE CHIROPRACTIC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRYGGESTAD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-587-0700",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.