Everett Jackson Stockwell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

285482-1202 Issued in UT

Practice address

10714 S Jordan Gtwy Ste 220
South Jordan, UT 84095-3931

Phone

(801) 523-1890

Fax

(801) 523-1495

NPI assigned

May 16, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720295355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10714 S JORDAN GTWY STE 220",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953931",
            "telephone_number": "801-523-1890",
            "fax_number": "801-523-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10714 S JORDAN GTWY STE 220",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953931",
            "telephone_number": "801-523-1890",
            "fax_number": "801-523-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKWELL",
        "first_name": "EVERETT",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "285482-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Stevens
• Natali Stevenson
• Crystal M Stewart, CMHC
• Stillwater Academy
• Cameron Stocking
• Joseph Ross Stockwell, D.C.
• Shane Everett Stockwell, CRNA
• Stonehaven Dental - South Jordan, LLC
• Stonehenge of South Jordan LLC
• Jared A Stong, PHARM.D.

• Chiropractor in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.