SJDC LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

03050 Issued in MN

Legal business name

SJDC LTD.

Practice address

10700 County Road 15
Suite 240
Plymouth, MN 55441-6101

Phone

(763) 544-2001

NPI assigned

Mar 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen T Johnson, D.C.NPI 1023107950

Title

President

Phone

(763) 544-2001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Timothy Johnson, D.C.

  • Chiropractor
  • Plymouth, MN
  • NPI 1023107950
  Authorized official Same address or phone

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033239488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 COUNTY ROAD 15",
            "address_2": "SUITE 240",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416101",
            "telephone_number": "763-544-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 COUNTY ROAD 15",
            "address_2": "SUITE 240",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416101",
            "telephone_number": "763-544-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJDC LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-544-2001",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "03050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Anne Singh
• Robert Michael Sinko, DDS
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• Sisu Physical Therapy PLLC
• Abbie Siudzinski, ND
• Jessica Sklar, MA, LPCC
• Camryn Skoog
• Ronald Carl Skoogberg, MD
• Lily Lucille Marie Skorseth
• Jenna Karyne Sladek, DPT

• Chiropractor in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.