Individual provider Active NPI

James L. Stogdill, D.C.

  • Chiropractor
  • Bloomfield, IA
National Provider Identifier
1386720308
Registry record updated Apr 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4831 Issued in IA
Practice address
102 W Jefferson St
Bloomfield, IA 52537-1609
Phone
(641) 664-1749
NPI assigned
Oct 31, 2006
Last updated
Apr 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 922 WA
Chiropractor 111N00000X 3616 MO
Chiropractor 111N00000X 4831 IA Primary

Addresses

Primary practice location

102 W Jefferson St
Bloomfield, IA 52537-1609

Mailing address

102 W Jefferson St
Bloomfield, IA 52537-1687
Phone (641) 664-1749

Other identifiers 1

IdentifierTypeStateIssuer
1187930MedicaidIA

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

LicenseStateTypeSpecialty
4831IAMDChiropractor
3616MOMDChiropractor
922WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270166400000",
    "number": "1386720308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W JEFFERSON ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371687",
            "telephone_number": "641-664-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W JEFFERSON ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371609",
            "telephone_number": "641-664-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOGDILL",
        "first_name": "JAMES",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2010-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "922",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "3616",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "4831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1187930",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.