Active NPI
Noel G Stoker, DDS
- Dentist
- Clovis, CA
National Provider Identifier
1366841793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19679
- Practice address
- 1095 Herndon Ave Ste 102
Clovis, CA 93612-0504 - Phone
- (559) 326-5270
- NPI assigned
- Aug 21, 2014
- Last updated
- Aug 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19679 | CA | Primary |
Addresses
Primary practice location
1095 Herndon Ave Ste 102
Clovis, CA 93612-0504
Mailing address
416 W Indio LN
Clovis, CA 93619-0413
Phone (559) 392-1926
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19679 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1366841793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 W INDIO LN",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936190413",
"telephone_number": "559-392-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 HERNDON AVE STE 102",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936120504",
"telephone_number": "559-326-5270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKER",
"first_name": "NOEL",
"middle_name": "G",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-21",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "19679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.