Isdale Chiropractic Clinic of Copperas Cove

Key facts

NPI

1508036823

Entity type

Organization (NPI type 2)

Primary specialty

Chiropractor 111N00000X

License

9536 (TX)

Legal business name

ISDALE CHIROPRACTIC CLINIC OF COPPERAS COVE

Practice address

211 Liberty Bell LN Ste 111
Copperas Cove, TX 76522-2588

Phone

(254) 547-6654

NPI assigned

Mar 3, 2008

Organization subpart

No

Authorized official

Name

Dr. John B Stockton, D.C. NPI 1396759486

Title

Doctor

Phone

(254) 547-6654

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

Practitioners 3

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

• John Burton Stockton, D.C. Chiropractor · Copperas Cove, TX · NPI 1396759486
  NPD (past) Authorized official CHIROPRACTOR
• Scott Edward Isdale, D.C. Chiropractor · Killeen, TX · NPI 1073535068
  NPD (past) CHIROPRACTOR
• Tracie L Schwab, D.C. Chiropractor · Cedar Park, TX · NPI 1043362858
  NPD (past) CHIROPRACTOR

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 3, 2008.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1508036823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 LIBERTY BELL LN STE 111",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765222588",
            "telephone_number": "254-547-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LIBERTY BELL LN STE 111",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765222588",
            "telephone_number": "254-547-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISDALE CHIROPRACTIC CLINIC OF COPPERAS COVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "STOCKTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "254-547-6654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Copperas Cove, TX · Chiropractor in Texas