Organization Active NPI

Isdale Chiropractic Clinic of Copperas Cove

  • Chiropractor
  • Copperas Cove, TX
National Provider Identifier
1508036823
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9536 Issued in 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
Last updated
Mar 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. John B Stockton, D.C.NPI 1396759486
Title
Doctor
Phone
(254) 547-6654

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 9536 TX Primary

Addresses

Primary practice location

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

Mailing address

211 Liberty Bell LN Ste 111
Copperas Cove, TX 76522-2588
Phone (254) 547-6654

National Provider Directory

National Provider Directory

Locations

211 Liberty Bell Ln
Ste 111
Copperas Cove, TX 76522
Phone (254) 547-6654

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": []
}

Other providers in Copperas Cove, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.