Active NPI
Ann M Stock, D.C.
- Chiropractor
- Belleville, IL
National Provider Identifier
1760487136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038005768
- Practice address
- 219 South Illinois Street
Suite D
Belleville, IL 62220-2161 - Phone
- (618) 236-0028
- Fax
- (618) 222-1933
- NPI assigned
- Jun 14, 2005
- Sex
- Female
- 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 | 038005768 | IL | Primary |
Addresses
Primary practice location
219 South Illinois Street
Suite D
Belleville, IL 62220-2161
Mailing address
219 South Illinois Street
Suite D
Belleville, IL 62220-2161
Phone (618) 236-0028
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119174 | Other | IL | HEALTHLINK |
| 4410001 | Other | IL | UNITED HEALTH CARE |
| 8282043 | Other | IL | BLUE CROSS BLUE SHIELD |
| P00065796 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038005768 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stock Chiropractic | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Belleville, IL
- NPI 1902957467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1760487136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 SOUTH ILLINOIS STREET",
"address_2": "SUITE D",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622202161",
"telephone_number": "618-236-0028",
"fax_number": "618-222-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 SOUTH ILLINOIS STREET",
"address_2": "SUITE D",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622202161",
"telephone_number": "618-236-0028",
"fax_number": "618-222-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCK",
"first_name": "ANN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-14",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038005768",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "119174",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "4410001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8282043",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00065796",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.