Richard Preston Stork, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009378 Issued in MI

Practice address

1549 N Leroy St
Suite B
Fenton, MI 48430-2790

Phone

(810) 629-2757

Fax

(810) 629-3899

NPI assigned

Nov 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Richard P. Stork D.C. PLLC

  • Chiropractor
  • Fenton, MI
  • NPI 1164690806
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1215116751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 N LEROY ST 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": "SUITE B",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302790",
            "telephone_number": "810-629-2757",
            "fax_number": "810-629-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORK",
        "first_name": "RICHARD",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Rayl Stephenson, DO
• Tayler Rain Stevens, LLPC
• Clarissa Dawn Stewart -Guest, ACUPUNCTURE
• Rebecca Anne Stiff, LPTA
• Brian E Stone, DC
• Patrick Joseph Stover, M.D., M.P.H.
• Paige Christian Sutton, CF-SLP
• SVC Dermatology PC
• Jamie Sweet, LMT
• Synthesis Medical Specialties, P.C.

• 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.
• 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.