David Edward Stude, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2103 Issued in MN

Practice address

800 Prairie Center Dr
Suite 200
Eden Prairie, MN 55344-7328

Phone

(952) 943-1188

Fax

(952) 943-1177

NPI assigned

Aug 13, 2006

Last updated

Jun 7, 2020By the provider in NPPES

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

Other identifiers 5

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwestern Health Sciences University

  • Multi-Specialty Clinic/Center
  • Bloomington, MN
  • NPI 1124103544
  NPD (past)
• Sweere Clinic LLC

  • Clinic/Center
  • Bloomington, MN
  • NPI 1942778097
  NPD (past)
• Physicians Vein Clinics, PC

  • Phlebology Physician
  • Sioux Falls, SD
  • NPI 1720370133
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591488000000",
    "number": "1750393955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PRAIRIE CENTER DR",
            "address_2": "SUITE 200",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447328",
            "telephone_number": "952-943-1188",
            "fax_number": "952-943-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRAIRIE CENTER DR",
            "address_2": "SUITE 200",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447328",
            "telephone_number": "952-943-1188",
            "fax_number": "952-943-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDE",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007727500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0N956ST",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "230844",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487864906",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "107862",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brion Junior Stubbs, CPT
• Dennis Michael Stull, D.C.
• Sturm Physical Therapy & Lymphatic Health LLC
• Kelly Sturm, DPT
• Succeeding With Add
• Eric Sugarman, A.T.,C.

• Chiropractor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Chiropractor in Minnesota

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