Individual provider Active NPI

Sidney Davell Stokes, ATC, CPED,CSCS

  • Pedorthist
  • Slidell, LA
National Provider Identifier
1235429184
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
Practice address
7212 Oakpoint Dr
Slidell, LA 70460-3978
Phone
(504) 453-1832
Fax
(985) 649-9118
NPI assigned
Apr 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pedorthist 224L00000X Primary
Athletic Trainer 2255A2300X

Addresses

Primary practice location

7212 Oakpoint Dr
Slidell, LA 70460-3978

Mailing address

7212 Oakpoint Dr
Slidell, LA 70460-3978
Phone (504) 453-1832

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

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1235429184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 OAKPOINT DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704603978",
            "telephone_number": "504-453-1832",
            "fax_number": "985-649-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 OAKPOINT DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704603978",
            "telephone_number": "504-453-1832",
            "fax_number": "985-649-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "SIDNEY",
        "middle_name": "DAVELL",
        "credential": "ATC, CPED,CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.