Individual provider Active NPI

Alyssa Stockero, D.C.

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1710679477
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
120710 Issued in IA
Practice address
5945 Council St NE
Cedar Rapids, IA 52402-5888
Phone
(319) 409-5941
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 120710 IA Primary

Addresses

Primary practice location

5945 Council St NE
Cedar Rapids, IA 52402-5888

Mailing address

6156 Carlson Way Apt A331
Marion, IA 52302-6665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718004114 IA Practitioner - Chiropractic 2567822877 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120710IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Chiropractic, PLLC Chiropractor CurrentSince Jul 17, 2023 Accepting new patients

Locations

5945 Council St NE
Ste B
Cedar Rapids, IA 52402
Phone (319) 373-5082

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1710679477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6156 CARLSON WAY APT A331",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523026665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 COUNCIL ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025888",
            "telephone_number": "319-409-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKERO",
        "first_name": "ALYSSA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "120710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.