Gregory David Stockdale

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

600 Wayne Ave
Dayton, OH 45410-1122

Phone

(937) 496-2000

NPI assigned

Nov 28, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1922578343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 HATHAWAY TRL",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711154",
            "telephone_number": "937-308-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WAYNE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454101122",
            "telephone_number": "937-496-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Henry St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454032398",
            "country_code": "US",
            "telephone_number": "937-443-0386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCKDALE",
        "first_name": "GREGORY",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylie Stites
• Isabella Marie Stoakes, DO
• Thomas Alan Stock, FNP-C
• Mary Martha Stockard, BS, CDA
• Spencer Clay Stockard, PA-C
• Kelsey Stockdale
• Nathan Paul Stockman, PHARM.D.
• Ernest Stockton
• Anna Stoeckicht, RN
• Michael W Stogsdill, PA-C

• Community/Behavioral Health Agency in Dayton, OH
• Providers in Dayton, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.