Richard P. Stork D.C. PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009378 Issued in MI

Legal business name

RICHARD P. STORK D.C. PLLC

Practice address

1549 N Leroy St
Ste. B
Fenton, MI 48430-2790

Phone

(810) 629-2757

Fax

(810) 629-3899

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Richard P Stork, D.C.NPI 1215116751

Title

President

Phone

(810) 629-2757

Specialties & licenses 1

Addresses

Other names 1

• Fenton Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Preston Stork, D.C.

  • Chiropractor
  • Fenton, MI
  • NPI 1215116751
  Medicare reassignment NPD Authorized official
• Robert Moore, D.C.

  • Chiropractor
  • Brighton, MI
  • NPI 1730110040
  NPD (past)
• Michael Thomas Walsh, D.C.

  • Chiropractor
  • Fenton, MI
  • NPI 1679599187
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1164690806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 N LEROY ST",
            "address_2": "STE. B",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302790",
            "telephone_number": "810-629-2757",
            "fax_number": "810-629-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 N LEROY ST",
            "address_2": "STE. B",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302790",
            "telephone_number": "810-629-2757",
            "fax_number": "810-629-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P. STORK D.C. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "STORK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-629-2757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fenton Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Resident Advancement Inc
• Aya Restrepo, PA
• Cynthia Reynolds
• Julia Elizabeth Reynolds, RD
• Kaleigh Rice
• Jeffrey Scott Rimarcik, DDS
• River & Rebirth Counseling PLLC
• RMJ Strategies
• Caroline Roark
• Alicia Anne Robar

• Chiropractor in Fenton, MI
• Providers in Fenton, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.