Organization Active NPI

Stout Chiropractic, P.C.

  • Chiropractor
  • Kokomo, IN
National Provider Identifier
1770791352
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
51000387A Issued in IN
Legal business name
STOUT CHIROPRACTIC, P.C.
Practice address
2705 S Berkley Rd
Suite #1-B
Kokomo, IN 46902-8025
Phone
(765) 455-2014
Fax
(765) 455-6099
NPI assigned
May 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Benjamin R. Stout, D.C.NPI 1275756801
Title
Owner
Phone
(765) 455-2014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 51000387A IN Primary

Addresses

Primary practice location

2705 S Berkley Rd
Suite #1-B
Kokomo, IN 46902-8025

Mailing address

2705 S Berkley Rd
Suite #1-B
Kokomo, IN 46902-8025
Phone (765) 455-2014

National Provider Directory

National Provider Directory

Locations

2705 S Berkley Rd
Ste 1B
Kokomo, IN 46902
Phone (765) 455-2014

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770791352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 S BERKLEY RD",
            "address_2": "SUITE #1-B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469028025",
            "telephone_number": "765-455-2014",
            "fax_number": "765-455-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 S BERKLEY RD",
            "address_2": "SUITE #1-B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469028025",
            "telephone_number": "765-455-2014",
            "fax_number": "765-455-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOUT CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-455-2014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "51000387A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.