NPIMap

Organization Active NPI

Stoetzel Chiropractic Clinic,PLLC

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1649404815
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2100 Issued in NC
Legal business name
STOETZEL CHIROPRACTIC CLINIC,PLLC
Practice address
1427 Peters Creek Pkwy
Winston Salem, NC 27103-4636
Phone
(336) 773-1177
NPI assigned
May 4, 2009
Organization subpart
Yes
Parent organization
STOETZEL CHIROPRACTIC CLINIC,PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Dr. John F Stoetzel, D.C.
Title
Chiropractic
Phone
(336) 773-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2100 NC Primary

Addresses

Primary practice location

1427 Peters Creek Pkwy
Winston Salem, NC 27103-4636

Mailing address

1427 Peters Creek Pkwy
Winston Salem, NC 27103-4636
Phone (336) 773-1177

National Provider Directory

National Provider Directory
Part of
Stoetzel Chiropractic Clinicpllc

Locations

1427 Peters Creek Pkwy
Winston Salem, NC 27103
Phone (336) 773-1177

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1649404815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 PETERS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034636",
            "telephone_number": "336-773-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 PETERS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034636",
            "telephone_number": "336-773-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOETZEL CHIROPRACTIC CLINIC,PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STOETZEL CHIROPRACTIC CLINIC,PLLC",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "STOETZEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "336-773-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.