Organization Active NPI

Back Pain Institute of Port Charlotte LLC

  • Chiropractor
  • Port Charlotte, FL
National Provider Identifier
1164626149
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8648 Issued in FL
Legal business name
BACK PAIN INSTITUTE OF PORT CHARLOTTE LLC
Practice address
2496 Caring Way
Suite B
Port Charlotte, FL 33952-5336
Phone
(941) 235-3535
Fax
(941) 235-3550
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Stephen Douglas Stokes, D.C.NPI 1144436866
Title
Sole Owner
Phone
(941) 235-3535

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 CH8648 FL Primary

Addresses

Primary practice location

2496 Caring Way
Suite B
Port Charlotte, FL 33952-5336

Mailing address

2496 Caring Way
Suite B
Port Charlotte, FL 33952-5336
Phone (941) 235-3535

National Provider Directory

National Provider Directory

Locations

2496 Caring Way
Unit B
Port Charlotte, FL 33952
Phone (941) 235-3535

Practitioners & affiliated clinicians

Practitioners 2

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": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1164626149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2496 CARING WAY",
            "address_2": "SUITE B",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525336",
            "telephone_number": "941-235-3535",
            "fax_number": "941-235-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2496 CARING WAY",
            "address_2": "SUITE B",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525336",
            "telephone_number": "941-235-3535",
            "fax_number": "941-235-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK PAIN INSTITUTE OF PORT CHARLOTTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "941-235-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.