John K Stull, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2392 Issued in OH

Practice address

2224 Woodman Dr
Kettering, OH 45420-1370

Phone

(937) 259-8850

Fax

(937) 259-8224

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• John K Stull DC Inc

  • Chiropractor
  • Kettering, OH
  • NPI 1417508581
  Medicare reassignment NPD Authorized official
• Christine L Dobran, D.C.

  • Chiropractor
  • Kettering, OH
  • NPI 1215124003
  NPD (past)
• Kettering Chiropractic Center Inc

  • Chiropractor
  • Kettering, OH
  • NPI 1265568760
  NPD (past)
• Knoderer Chiropractic Center LLC

  • Chiropractor
  • Kettering, OH
  • NPI 1265014294
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1700987336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 WOODMAN DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201370",
            "telephone_number": "937-259-8850",
            "fax_number": "937-259-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 WOODMAN DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201370",
            "telephone_number": "937-259-8850",
            "fax_number": "937-259-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULL",
        "first_name": "JOHN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2147608",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stroop Medical, Inc.
• Andrew Karl Stroud, M.D.
• Lauren Aleice Stroud
• Janice M Stucke, CRNA
• Kay Stukenborg
• David Brewer Stultz, MD
• Michelle Denise Sturm, CNP
• Amy Christine Sudimack, PT
• Greg Sullivan, RPH
• Felicia Wendy Sumerlin

• Chiropractor in Kettering, OH
• Providers in Kettering, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.