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DR. CHARLENE R STODDARD D.C.
NPI 1114922739
Chiropractor in Coeur D Alene, ID

Active since June 20, 2005
1025 W IRONWOOD DR, STE 2, COEUR D ALENE, ID 83814(208) 667-0875(208) 667-2850 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charlene R Stoddard D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLENE R STODDARD D.C. (NPI 1114922739) is an individual chiropractor in Coeur D Alene, Idaho, licensed in Idaho (CHIA-819) and active in the NPI registry since June 2005. She is a graduate of Other (1996).

NPPES Registry Identity

NPI1114922739
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. CHARLENE R STODDARDCredential: D.C.
Location Address1025 W IRONWOOD DR, STE 2Coeur D Alene, ID 83814-3161
Mailing Address1025 W Ironwood Dr, Ste 2Coeur D Alene, ID 83814-3161 · (208) 667-0875 · Fax (208) 667-2850
Phone(208) 667-0875
Fax(208) 667-2850
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJune 20, 2005
Last NPPES UpdateJuly 12, 2023
NPPES CertifiedJuly 12, 2023
✔ NPI 1114922739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-819
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License CHIA819 (ID)
1025 W IRONWOOD DR, Coeur D Alene, ID 83814
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Other Identifiers 3

Other000010022440ID · Blue Shield
Medicaid1673575ID
OtherC-8190ID · Blue Cross

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charlene R Stoddard D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355583881
PECOS Enrollment IDI20130813000987

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
799 services58 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES J LEE DDS
Dentist (General Practice)
1025 W IRONWOOD DR, SUITE 1
COEUR D ALENE, ID 83814
Kootenai County (208) 667-2322
TYLER STANLEY
Dental Hygienist
1025 W IRONWOOD DR, ST 1
COEUR D ALENE, ID 83814
Kootenai County (208) 667-2322
TANA LYNN VESSER FNP
Nurse Practitioner (Family)
1025 W IRONWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 667-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlene Stoddard's NPI number?

The NPI number for Charlene Stoddard is 1114922739. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Charlene Stoddard located?

Charlene Stoddard practices at 1025 W Ironwood Dr Ste 2, Coeur D Alene, ID 83814. The listed phone number is (208) 667-0875.

What is Charlene Stoddard's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Charlene Stoddard enrolled in Medicare?

Yes. Charlene Stoddard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charlene Stoddard was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.