Derrick Jack Stom, DC

Chiropractor · Walnut Creek, CA

Individual Active NPI

NPI number 1164176616

Practice location

7001 Sunne Ln # 112
Walnut Creek, CA 94597-3622
Phone
(925) 956-8333

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NPI record

NPI
1164176616
Entity type
Individual (Type 1)
Enumeration date
February 3, 2022
Last updated
April 17, 2023
Certified
April 17, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X DC36252 CA

Mailing address

2125 Youngs Ct
Walnut Creek, CA 94596-6319
Phone
(925) 956-8333

About Dr. Stom

Derrick Jack Stom, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 7001 Sunne Ln # 112, Walnut Creek, CA 94597-3622. The NPI number 1164176616 was assigned on February 3, 2022 and the record was last updated on April 17, 2023.

Dr. Stom lists a license in the registry: #DC36252 (CA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derrick Jack Stom, DC?

The NPI number is 1164176616.

What is the phone number of Dr. Stom?

The phone number listed for the practice location is (925) 956-8333.

Where is Dr. Stom located?

7001 Sunne Ln # 112, Walnut Creek, CA 94597-3622.

What is the taxonomy code for Dr. Stom?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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