Charlene R Stoddard, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-819 Issued in ID

Practice address

1025 W Ironwood Dr
Ste 2
Coeur D Alene, ID 83814-3161

Phone

(208) 667-0875

Fax

(208) 667-2850

NPI assigned

Jun 20, 2005

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1114922739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W IRONWOOD DR",
            "address_2": "STE 2",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143161",
            "telephone_number": "208-667-0875",
            "fax_number": "208-667-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W IRONWOOD DR",
            "address_2": "STE 2",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143161",
            "telephone_number": "208-667-0875",
            "fax_number": "208-667-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "CHARLENE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "ID",
            "license": "CHIA819",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010022440",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1673575",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C-8190",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stillpoint LLC
• Michelle Ann Stimak, FNP-BC
• Lindsey Stirton
• Austin Joshua Stivison, DC
• Robert Irving Stockton, D.D.S.
• Christopher Alan Stoddard, DPT, OTR/L
• Samantha Lynn Stolzel, D.C., M.S.
• Jared Stone, LMSW
• Dale Justin Stormogipson, M.D.
• Ronald J Stout, MD

• Chiropractor in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.