Individual provider Active NPI

Grant Fielding Stoddard, D.C.

  • Chiropractor
  • Rio Rancho, NM
National Provider Identifier
1922171198
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1533 Issued in NM
Practice address
2704 Southern Blvd SE
Ste. #3
Rio Rancho, NM 87124-3748
Phone
(505) 896-1300
Fax
(505) 896-6833
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1533 NM Primary

Addresses

Primary practice location

2704 Southern Blvd SE
Ste. #3
Rio Rancho, NM 87124-3748

Mailing address

2704 Southern Blvd SE
Ste. #3
Rio Rancho, NM 87124-3748
Phone (505) 896-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051212000251 NM Practitioner - Chiropractic 4284659640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2704 Southern Blvd SE
Suite 3
Rio Rancho, NM 87124-3748
Phone (505) 896-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Physicians Clinic, Inc. Chiropractor CurrentSince Jul 1, 2007 Accepting new patients
B & B Chiropractic Chiropractor PastSince Jan 1, 2006 Accepting new patients

Locations

2704 Southern Blvd SE
Ste 3
Rio Rancho, NM 87124
Phone (505) 896-1300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1922171198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 SOUTHERN BLVD SE",
            "address_2": "STE. #3",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243748",
            "telephone_number": "505-896-1300",
            "fax_number": "505-896-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 SOUTHERN BLVD SE",
            "address_2": "STE. #3",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243748",
            "telephone_number": "505-896-1300",
            "fax_number": "505-896-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "GRANT",
        "middle_name": "FIELDING",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.