Individual provider Active NPI

Daniel J Stettler, L.AC.

  • Acupuncturist
  • Cottage Grove, MN
National Provider Identifier
1639439912
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1436 Issued in MN
Practice address
9711 Hames CT S
Cottage Grove, MN 55016-3874
Phone
(651) 485-1737
NPI assigned
May 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1436 MN Primary

Addresses

Primary practice location

9711 Hames CT S
Cottage Grove, MN 55016-3874

Mailing address

9711 Hames CT S
Cottage Grove, MN 55016-3874
Phone (651) 485-1737

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

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1639439912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 HAMES CT S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163874",
            "telephone_number": "651-485-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 HAMES CT S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163874",
            "telephone_number": "651-485-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETTLER",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1436",
            "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 May 21, 2012; 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.