Organization Active NPI

Stockdale Chiropractic Center, P.L.L.C.

  • Chiropractor
  • Cary, NC
National Provider Identifier
1487728275
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STOCKDALE CHIROPRACTIC CENTER, P.L.L.C.
Practice address
311 Ashville Ave Ste K
Cary, NC 27511-6668
Phone
(919) 851-0309
Fax
(919) 851-7259
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Brett Stockdale, D.C.NPI 1396752135
Title
Owner
Phone
(919) 851-0309

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 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

IdentifierTypeStateIssuer
890831QMedicaidNC

National Provider Directory

National Provider Directory

Locations

311 Ashville Ave
Ste K
Cary, NC 27518
Phone (919) 851-0309

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487728275",
    "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": {
        "organization_name": "STOCKDALE CHIROPRACTIC CENTER, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOCKDALE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-851-0309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.