Active NPI
Cory Wayne Stock, D.C.
- Chiropractor
- Maumee, OH
National Provider Identifier
1861770836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4209
- Practice address
- 1361 Conant St
Maumee, OH 43537-1609 - Phone
- (419) 740-5833
- Fax
- (419) 482-7745
- NPI assigned
- Jul 25, 2011
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4209 | OH | Primary |
Addresses
Primary practice location
1361 Conant St
Maumee, OH 43537-1609
Mailing address
5862 Firethorne Dr Apt O
Toledo, OH 43615-6781
Phone (316) 617-7435
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4209 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311552000000",
"number": "1861770836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5862 FIRETHORNE DR APT O",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436156781",
"telephone_number": "316-617-7435",
"fax_number": "419-482-7745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1361 CONANT ST",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371609",
"telephone_number": "419-740-5833",
"fax_number": "419-482-7745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCK",
"first_name": "CORY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-25",
"last_updated": "2011-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "4209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.