Organization Active NPI

Stoltenberg Chiropractic Professional Corporation

  • Chiropractor
  • Fresno, CA
National Provider Identifier
1871862052
Registry record updated Dec 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
19296 Issued in CA
Legal business name
STOLTENBERG CHIROPRACTIC PROFESSIONAL CORPORATION
Practice address
7472 N Fresno St Ste 206
Fresno, CA 93720-2459
Phone
(559) 435-2225
Fax
(559) 435-1229
NPI assigned
Dec 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2011

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

Authorized official

Name
Dr. Jeffrey Alan Stoltenberg, D.C.NPI 1366525107
Title
Owner
Phone
(559) 435-2225

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 19296 CA Primary

Addresses

Primary practice location

7472 N Fresno St Ste 206
Fresno, CA 93720-2459

Mailing address

7472 N Fresno St Ste 206
Fresno, CA 93720-2459
Phone (559) 435-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120117000244 CA Part B Supplier - Clinic/Group Practice 3072780030 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

7472 N Fresno St
Ste 206
Fresno, CA 93720
Phone (559) 435-2225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324166400000",
    "number": "1871862052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7472 N FRESNO ST STE 206",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202459",
            "telephone_number": "559-435-2225",
            "fax_number": "559-435-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7472 N FRESNO ST STE 206",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202459",
            "telephone_number": "559-435-2225",
            "fax_number": "559-435-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOLTENBERG CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-18",
        "last_updated": "2011-12-18",
        "status": "A",
        "authorized_official_last_name": "STOLTENBERG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-435-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "19296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.