NPIMap

Organization Active NPI

On the Go Chiropractic LLC

  • Chiropractor
  • Cottage Grove, MN
National Provider Identifier
1346645488
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC3945 Issued in MN
Legal business name
ON THE GO CHIROPRACTIC LLC
Practice address
7586 63Rd Street Cir S
Cottage Grove, MN 55016-6016
Phone
(763) 244-8020
Fax
(763) 244-8021
NPI assigned
Oct 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Dr. Jason Stadther, D.C.
Title
Owner/Chiropractor
Phone
(763) 244-8022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC3945 MN Primary

Addresses

Primary practice location

7586 63Rd Street Cir S
Cottage Grove, MN 55016-6016

Mailing address

7586 63Rd Street Cir S
Cottage Grove, MN 55016-6016
Phone (763) 244-8020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1346645488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7586 63RD STREET CIR S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550166016",
            "telephone_number": "763-244-8020",
            "fax_number": "763-244-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7586 63RD STREET CIR S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550166016",
            "telephone_number": "763-244-8020",
            "fax_number": "763-244-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON THE GO CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "STADTHER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "763-244-8022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "DC3945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.