NPIMap

Organization Active NPI

Timothy D. Studt, D.C., P.C.

  • Chiropractor
  • Saint Louis, MI
National Provider Identifier
1689660326
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TS005329 Issued in MI
Legal business name
TIMOTHY D. STUDT, D.C., P.C.
Practice address
1883 W Monroe Rd
Saint Louis, MI 48880-9789
Phone
(989) 681-2533
Fax
(989) 681-2533
NPI assigned
Sep 27, 2005
Last updated
Oct 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Timothy D. Studt, DCNPI 1245386101
Title
President
Phone
(989) 681-2533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X TS005329 MI Primary

Addresses

Primary practice location

1883 W Monroe Rd
Saint Louis, MI 48880-9789

Mailing address

1883 W Monroe Rd
Saint Louis, MI 48880-9789
Phone (989) 681-2533

Other identifiers 2

IdentifierTypeStateIssuer
144269362MedicaidMI
950B910390OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1883 W Monroe Rd
Unit B
Saint Louis, MI 48880
Phone (989) 681-2533

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1689660326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 W MONROE RD",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488809789",
            "telephone_number": "989-681-2533",
            "fax_number": "989-681-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 W MONROE RD",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488809789",
            "telephone_number": "989-681-2533",
            "fax_number": "989-681-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY D. STUDT, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "STUDT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-681-2533",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "TS005329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144269362",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950B910390",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.