Individual provider Active NPI

Loren Raymond Stoner, DC

  • Neurology Chiropractor
  • Grand Marais, MN
National Provider Identifier
1336178003
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
2178 Issued in MN
Practice address
101 W Highway 61
Grand Marais, MN 55604-2333
Phone
(218) 387-9494
Fax
(218) 387-3584
NPI assigned
Jul 3, 2006
Last updated
Nov 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 2178 MN Primary

Addresses

Primary practice location

101 W Highway 61
Grand Marais, MN 55604-2333

Mailing address

PO Box 125
101 West Highway 61
Grand Marais, MN 55604-0125
Phone (218) 387-9494

Other identifiers 3

IdentifierTypeStateIssuer
799327800MedicaidMN
2437670OtherMNAMERICA'S PPO
422L9NOOtherMNBCBS CLINIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607000399 MN Practitioner - Chiropractic 9234192246 Practice locations: Grand Marais, MN; Grand Portage, MN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 W Hwy 61
PO Box 125
Grand Marais, MN 55604-0125

62 Upper Rd
Grand Portage, MN 55605-3010
Phone 21842522345

PO Box
Suite 125
Grand Marais, MN 55604-0125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1336178003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "address_2": "101 WEST HIGHWAY 61",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556040125",
            "telephone_number": "218-387-9494",
            "fax_number": "218-387-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W HIGHWAY 61",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556042333",
            "telephone_number": "218-387-9494",
            "fax_number": "218-387-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONER",
        "first_name": "LOREN",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MN",
            "license": "2178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "799327800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "2437670",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CLINIC",
            "identifier": "422L9NO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Marais, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.