Active NPI
Taylor Stoecklin, DC
- Chiropractor
- Boulder, CO
National Provider Identifier
1750809638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0007555
- Practice address
- 1113 Spruce St Ste 401a
Boulder, CO 80302-4001 - Phone
- (720) 583-6621
- NPI assigned
- Aug 31, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0007555 | CO | Primary |
Addresses
Primary practice location
1113 Spruce St Ste 401a
Boulder, CO 80302-4001
Mailing address
1113 Spruce St Ste 401a
Boulder, CO 80302-4001
Phone (720) 583-6621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
177 E Bunnell Ave
Suite 2
Homer, AK 99603-7854
Phone (907) 235-7221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0007555 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arctic Chiropractic Homer | Chiropractor | Current | Accepting new patients |
| Hediger Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
| Arctic Rehabilitation and Physical Therapy Homer | Past | Accepting new patients |
Locations
177 E Bunnell Ave
Ste 2
Homer, AK 99603
Phone (907) 235-7221
1150 S Colony Way
Ste 3
Palmer, AK 99645
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Homer, AK
- NPI 1568037216
-
- Physical Therapy Clinic/Center
- Homer, AK
- NPI 1831848530
-
- Chiropractor
- Homer, AK
- NPI 1306177258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1750809638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 SPRUCE ST STE 401A",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024001",
"telephone_number": "720-583-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 SPRUCE ST STE 401A",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024001",
"telephone_number": "720-583-6621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOECKLIN",
"first_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "0007555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.