Active NPI
Robert Brett Stockdale, D.C.
- Chiropractor
- Cary, NC
National Provider Identifier
1396752135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2509
- Practice address
- 311 Ashville Ave Ste K
Cary, NC 27511-6668 - Phone
- (919) 851-0309
- Fax
- (919) 851-7259
- NPI assigned
- Aug 2, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2509 | NC | Primary |
Addresses
Primary practice location
311 Ashville Ave Ste K
Cary, NC 27511-6668
Mailing address
311 Ashville Ave Ste K
Cary, NC 27511-6668
Phone (919) 851-0309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890831Q | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2509 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stockdale Chiropractic Center, P.L.L.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Cary, NC
- NPI 1487728275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396752135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 ASHVILLE AVE STE K",
"city": "CARY",
"state": "NC",
"postal_code": "275116668",
"telephone_number": "919-851-0309",
"fax_number": "919-851-7259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 ASHVILLE AVE STE K",
"city": "CARY",
"state": "NC",
"postal_code": "275116668",
"telephone_number": "919-851-0309",
"fax_number": "919-851-7259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKDALE",
"first_name": "ROBERT",
"middle_name": "BRETT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890831Q",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.