Individual provider Active NPI

Joseph Ross Stockwell, D.C.

  • Chiropractor
  • South Jordan, UT
National Provider Identifier
1194037978
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7507750-1202 Issued in UT
Practice address
10714 S Jordan Gtwy
Suite # 220
South Jordan, UT 84095-3922
Phone
(801) 523-1890
Fax
(801) 523-1495
NPI assigned
Jul 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7507750-1202 UT Primary

Addresses

Primary practice location

10714 S Jordan Gtwy
Suite # 220
South Jordan, UT 84095-3922

Mailing address

10714 S Jordan Gtwy
Suite # 220
South Jordan, UT 84095-3922
Phone (801) 523-1890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7507750-1202UTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1194037978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10714 S JORDAN GTWY",
            "address_2": "SUITE # 220",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953922",
            "telephone_number": "801-523-1890",
            "fax_number": "801-523-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10714 S JORDAN GTWY",
            "address_2": "SUITE # 220",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953922",
            "telephone_number": "801-523-1890",
            "fax_number": "801-523-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKWELL",
        "first_name": "JOSEPH",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7507750-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.