Stock Chiropractic Wellness Center, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

STOCK CHIROPRACTIC WELLNESS CENTER, P.A.

Practice address

2310 Tamiami TRL Unit 2121
Punta Gorda, FL 33950-5934

Phone

(941) 205-2225

Fax

(941) 205-3000

NPI assigned

Oct 20, 2010

Last updated

May 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Edward Stock, DCNPI 1871747212

Title

Owner

Phone

(941) 205-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Feder Health Clinic, P.A. Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Jacob Edward Stock, D.C.

  • Chiropractor
  • Punta Gorda, FL
  • NPI 1871747212
  Medicare reassignment NPD Authorized official
• Nora Ann Davis, MS ARNP PNP-BC

  • Nurse Practitioner
  • Punta Gorda, FL
  • NPI 1013978964
  NPD (past)

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1548570799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 TAMIAMI TRL UNIT 2121",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505934",
            "telephone_number": "941-205-2225",
            "fax_number": "941-205-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 TAMIAMI TRL UNIT 2121",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505934",
            "telephone_number": "941-205-2225",
            "fax_number": "941-205-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCK CHIROPRACTIC WELLNESS CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "STOCK",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-205-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022641200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Feder Health Clinic, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stephen a Spencer MD.,PA
• Stephen P Schroering MD PLLC
• Stephen P. Moenning M.D., P.a.
• Brian Stephenson, MD
• Magdalene Myriah Stevenson, LPN
• Jacob Edward Stock, D.C.
• David M Stone, LMHC
• Storiesincontext
• Christine Louise Straessle, BC
• Strategic Applied Behavior Analysis Corp

• Chiropractor in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.