Individual provider Active NPI

Michelle Kimberly Stoskopf, D.C.

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1407965593
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29681 Issued in CA
Practice address
6914 65TH St
Suite 309
Sacramento, CA 95823-2339
Phone
(408) 382-9932
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29681 CA Primary

Addresses

Primary practice location

6914 65TH St
Suite 309
Sacramento, CA 95823-2339

Mailing address

6914 65TH St
Suite 309
Sacramento, CA 95823-2339
Phone (408) 382-9932

Other identifiers 1

IdentifierTypeStateIssuer
DC29681OtherCACHIROPRACTIC LICENSE

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

LicenseStateTypeSpecialty
DC29681CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407965593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 65TH ST",
            "address_2": "SUITE 309",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232339",
            "telephone_number": "408-382-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6914 65TH ST",
            "address_2": "SUITE 309",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232339",
            "telephone_number": "408-382-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOSKOPF",
        "first_name": "MICHELLE",
        "middle_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC29681",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

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.

Verify at the official NPI Registry.