Individual provider Active NPI

Ezekiel Truman Cornwell Stone, FP-C, CCP-C, TP-C

  • Military Health Care Provider
  • Horseshoe Bend, ID
National Provider Identifier
1447180047
Registry record updated May 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Health Care ProviderTaxonomy code 171000000X
Practice address
157 Dovetail Dr
Horseshoe Bend, ID 83629-5125
Phone
(503) 999-7583
NPI assigned
May 23, 2026
Last updated
May 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X NU Primary

Addresses

Primary practice location

157 Dovetail Dr
Horseshoe Bend, ID 83629-5125

Mailing address

157 Dovetail Dr
Horseshoe Bend, ID 83629-5125

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

NPI Registry JSON

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

{
    "created_epoch": "1779494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779494400000",
    "number": "1447180047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 DOVETAIL DR",
            "city": "HORSESHOE BEND",
            "state": "ID",
            "postal_code": "836295125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 DOVETAIL DR",
            "city": "HORSESHOE BEND",
            "state": "ID",
            "postal_code": "836295125",
            "telephone_number": "503-999-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "EZEKIEL",
        "middle_name": "TRUMAN CORNWELL",
        "credential": "FP-C, CCP-C, TP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-23",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseshoe Bend, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2026; 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.