Active NPI
Troy Dennis Stuckey
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1639277841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3784
- Practice address
- 2574 Rice St
Saint Paul, MN 55113-3712 - Phone
- (651) 779-8883
- Fax
- (651) 779-8898
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3784 | MN | Primary |
Addresses
Primary practice location
2574 Rice St
Saint Paul, MN 55113-3712
Mailing address
2574 Rice St
Saint Paul, MN 55113-3712
Phone (651) 779-8883
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3784 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Pain Centers PA | 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.
-
- Family Medicine Physician
- Minnetonka, MN
- NPI 1760005771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1639277841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2574 RICE ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551133712",
"telephone_number": "651-779-8883",
"fax_number": "651-779-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2574 RICE ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551133712",
"telephone_number": "651-779-8883",
"fax_number": "651-779-8898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCKEY",
"first_name": "TROY",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.