Active NPI
Judd A Stucky, DC
- Chiropractor
- Plainview, MN
National Provider Identifier
1124248612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3306
- Practice address
- 349 West Broadway
Plainview, MN 55964-1255 - Phone
- (507) 534-3502
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3306 | MN | Primary |
| Chiropractor | 111N00000X | 3210 | WI | |
| Chiropractor | 111N00000X | 952941811202 | UT |
Addresses
Primary practice location
349 West Broadway
Plainview, MN 55964-1255
Mailing address
349 West Broadway
Plainview, MN 55964-1255
Phone (507) 534-3502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 952941811202 | UT | MD | Chiropractor |
| 3210 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr J L Stucky Chiropractor PA | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Plainview, MN
- NPI 1871713362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124248612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 WEST BROADWAY",
"city": "PLAINVIEW",
"state": "MN",
"postal_code": "559641255",
"telephone_number": "507-534-3502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 WEST BROADWAY",
"city": "PLAINVIEW",
"state": "MN",
"postal_code": "559641255",
"telephone_number": "507-534-3502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCKY",
"first_name": "JUDD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3306",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3210",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "952941811202",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainview, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.