Stom Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

STOM CHIROPRACTIC CORPORATION

Practice address

7001 Sunne LN # 112
Walnut Creek, CA 94597-3622

Phone

(925) 956-8333

Fax

(925) 947-1122

NPI assigned

Apr 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Derrick Jack Stom, DC

Title

President, Secretary, Treasurer

Phone

(925) 956-8333

Specialties & licenses 1

Addresses

Other names 1

• Stom Chiropractic Corporation Other name

Locations

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1689360059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 YOUNGS CT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945966319",
            "telephone_number": "925-956-8333",
            "fax_number": "925-947-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 SUNNE LN # 112",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973622",
            "telephone_number": "925-956-8333",
            "fax_number": "925-947-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOM CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "STOM",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT, SECRETARY, TREASURER",
        "authorized_official_telephone_number": "925-956-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stom Chiropractic Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Una Stoddart, P.T.
• Ellisse Stohrer
• Adriane Stoia
• Nickola Sasha Stojanovich, D.C.
• Paul Richard Stolper I
• Derrick Jack Stom, DC
• Adriana Nohemi Stone
• Diana Storti
• Kortney Karolina Stortz
• Kory David Stotesbery, D.O.

• Chiropractor in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.