Active NPI
Christopher Raymond Stock, D.D.S.
- General Practice Dentistry
- Bradenton, FL
National Provider Identifier
1861451171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN15501
- Practice address
- 2006 Manatee Ave W
Bradenton, FL 34205-5856 - Phone
- (941) 748-7017
- Fax
- (941) 746-1056
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN15501 | FL | Primary |
Addresses
Primary practice location
2006 Manatee Ave W
Bradenton, FL 34205-5856
Mailing address
2006 Manatee Ave W
Bradenton, FL 34205-5856
Phone (941) 748-7017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65-1142450 | Other | FL | TAX ID |
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 |
|---|---|---|---|
| DN15501 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861451171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 MANATEE AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342055856",
"telephone_number": "941-748-7017",
"fax_number": "941-746-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 MANATEE AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342055856",
"telephone_number": "941-748-7017",
"fax_number": "941-746-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCK",
"first_name": "CHRISTOPHER",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN15501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "65-1142450",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- 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.