Jacob Stockton, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60679939 Issued in WA

Practice address

262 N 1St St Ste 1
Kalama, WA 98625-9100

Phone

(360) 673-9555

NPI assigned

Aug 4, 2016

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine Align Northwest PCGroup PAC ID 5193115129, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Spine Align Northwest P.C.

  • Health Service Clinic/Center
  • Kalama, WA
  • NPI 1679235766
  Medicare reassignment Care Compare group NPD Authorized official
• Battle Ground Advantage Chiropractic PS

  • Chiropractor
  • Battle Ground, WA
  • NPI 1104507425
  NPD (past)

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1174077473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1085",
            "city": "KALAMA",
            "state": "WA",
            "postal_code": "986251000",
            "telephone_number": "360-673-9555",
            "fax_number": "360-673-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 N 1ST ST STE 1",
            "city": "KALAMA",
            "state": "WA",
            "postal_code": "986259100",
            "telephone_number": "360-673-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKTON",
        "first_name": "JACOB",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-04",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60679939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dr.jacobstockton@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Provider email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "262 N 1st St Ste 1",
            "city": "Kalama",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986259100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracie Lynn Payne, RN
• Colleen Emily Peterson, LMT
• Betsy Mae Preheim, LMP
• Colleen Marie Schaffer, LPN
• Spine Align Northwest P.C.
• Jon M Tippin, MD

• Chiropractor in Kalama, WA
• Providers in Kalama, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.