Blue Sky Vitamin LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BLUE SKY VITAMIN LLC

Practice address

160 83Rd Ave NE Ste 106
Fridley, MN 55432-1846

Phone

(800) 743-1406

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Denis Ledoux, DCNPI 1114147667

Title

Ceo

Phone

(612) 270-5011

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.

• Ronald Denis Ledoux, D.C.

  • Nutrition Chiropractor
  • Fridley, MN
  • NPI 1114147667
  NPD Authorized official

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1427670975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 83RD AVE NE STE 106",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554321846",
            "telephone_number": "800-743-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 83RD AVE NE STE 106",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554321846",
            "telephone_number": "800-743-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY VITAMIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "LEDOUX",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DENIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-270-5011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Bilse, MS, LMFT
• Elise Michelle Binsfeld, M.D.
• Stacey Nicole Bishofsky, LICSW
• Tianna V Blaskowski, OTR/L
• Blessed Grace Cleaning Group LLC
• Robert Tayler Bockstruck, MD
• Carey Bohman
• Venessa Marie Boland, PHARMD
• Samuel Paul Bondhus
• Hana Bonefacic, M.D

• Health Service Clinic/Center in Fridley, MN
• Providers in Fridley, MN by specialty
• Health Service Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.