Jason John Stadther, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3945DC Issued in MN

Practice address

2781 Freeway Blvd
Brooklyn Center, MN 55430-1753

Phone

(763) 244-8022

Fax

(763) 244-8021

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stadther Chiropractic, LTD.

  dba Meridian Disc Institute

  • Chiropractor
  • Saint Cloud, MN
  • NPI 1831144450
  NPD (past) Authorized official
• Icare Diagnostic Imaging LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Brooklyn Center, MN
  • NPI 1932627684
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1548218019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 FREEWAY BLVD",
            "address_2": "SUITE 160",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301753",
            "telephone_number": "763-244-8022",
            "fax_number": "763-244-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 FREEWAY BLVD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301753",
            "telephone_number": "763-244-8022",
            "fax_number": "763-244-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADTHER",
        "first_name": "JASON",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3945DC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daya Srinivasan, D.D.S
• SRS Web Solutions
• Wiendy St Juste
• St. Paul Neck & Back Clinic, PC (Brooklyn Center Neck & Back Clinic)
• Paul Steven Stadem, MD
• Alexandra Maria Stamos
• Devon Rose Stanley
• Starlight Transit LLC
• Jeffrey Scott Stefani, DDS
• Lauren Stennes, M.D.

• Chiropractor in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.