Organization Active NPI

Stoke Chiropractic Clinic Inc

  • Chiropractor
  • Roanoke, VA
National Provider Identifier
1447562509
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000165 Issued in VA
Legal business name
STOKE CHIROPRACTIC CLINIC INC
Practice address
217 Albemarle Avenue SW
Roanoke, VA 24016-4716
Phone
(540) 344-6738
Fax
(540) 344-8047
NPI assigned
Jul 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Dr. Paul Henry Cronk, D.C.NPI 1114016904
Title
Owner
Phone
(540) 344-6738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104000165 VA Primary

Addresses

Primary practice location

217 Albemarle Avenue SW
Roanoke, VA 24016-4716

Mailing address

217 Albemarle Avenue SW
Roanoke, VA 24016-4716
Phone (540) 344-6738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100922000136 VA Part B Supplier - Clinic/Group Practice 4183740616 Receives reassigned benefits from 1 practitioner
Practice locations: Roanoke, VA

National Provider Directory

National Provider Directory

Locations

217 Albemarle Ave SW
Roanoke, VA 24016
Phone (540) 342-4010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1447562509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 ALBEMARLE AVENUE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164716",
            "telephone_number": "540-344-6738",
            "fax_number": "540-344-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 ALBEMARLE AVENUE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164716",
            "telephone_number": "540-344-6738",
            "fax_number": "540-344-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOKE CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "CRONK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-344-6738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.