Individual provider Active NPI

Julia Stobert, DC

  • Chiropractor
  • Williamsville, NY
National Provider Identifier
1588020333
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012768 Issued in NY
Practice address
6470 Main St Ste 2
Williamsville, NY 14221-5851
Phone
(716) 580-3577
NPI assigned
Jan 10, 2016
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012768 NY Primary

Addresses

Primary practice location

6470 Main St Ste 2
Williamsville, NY 14221-5851

Mailing address

6470 Main St Ste 2
Williamsville, NY 14221-5851
Phone (716) 580-3577

Other practice location 1

3681 Seneca St
West Seneca, NY 14224-3452
Phone (716) 675-4333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190809000357 NY Practitioner - Chiropractic 8123323813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Care Chiropractic PCGroup PAC ID 4486888948, 6 clinicians

Practice addresses (Care Compare)

6470 Main St
Suite 2
Williamsville, NY 14221-5851
Phone (716) 580-3577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Chiropractic PC CurrentSince Jul 1, 2019 Accepting new patients
Brian M. McCourt D.B.a. McCourt Chiropractic Chiropractor Past Accepting new patients

Locations

6470 Main St
Ste 2
Williamsville, NY 14221
Phone (716) 580-3577

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1588020333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 MAIN ST STE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215851",
            "telephone_number": "716-580-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 MAIN ST STE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215851",
            "telephone_number": "716-580-3577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3681 Seneca St",
            "address_purpose": "LOCATION",
            "city": "West Seneca",
            "state": "NY",
            "postal_code": "142243452",
            "country_code": "US",
            "telephone_number": "716-675-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOBERT",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-10",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.