Individual provider Active NPI

Douglas Stockel, DC

  • Chiropractor
  • Alpharetta, GA
National Provider Identifier
1629457239
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 25934 Issued in CA
Practice address
9340 Colonnade TRL
Alpharetta, GA 30022-5190
Phone
(310) 985-1515
Fax
(310) 526-7093
NPI assigned
May 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009314 GA
Chiropractor 111N00000X DC 25934 CA Primary

Addresses

Primary practice location

9340 Colonnade TRL
Alpharetta, GA 30022-5190

Mailing address

20969 Ventura Blvd Ste 204
Woodland Hills, CA 91364-6612
Phone (310) 985-1515

Other identifiers 2

IdentifierTypeStateIssuer
CHIR009314OtherGACHIROPRACTOR
DC 25934OtherCACHIORPRACTOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC 25934CAMDChiropractor
CHIR009314GAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1629457239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20969 VENTURA BLVD STE 204",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646612",
            "telephone_number": "310-985-1515",
            "fax_number": "310-526-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9340 COLONNADE TRL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225190",
            "telephone_number": "310-985-1515",
            "fax_number": "310-526-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKEL",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009314",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 25934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "CHIR009314",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIORPRACTOR",
            "identifier": "DC 25934",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.