PLCC, LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PLCC, LTD

Practice address

14020 Highway 13 S
Suite 650
Savage, MN 55378-7100

Phone

(952) 447-8980

Fax

(952) 447-8941

NPI assigned

Nov 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Leonard Sticha, D.CNPI 1407941354

Title

Ceo

Phone

(952) 447-8980

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Prior Lake Chiropractic Center Other name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 7

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.

• Montana Leigh Belford, DC

  • Chiropractor
  • Savage, MN
  • NPI 1699545889
  Medicare reassignment Care Compare group NPD
• Bradley Peter Kuntz, DC

  • Chiropractor
  • Savage, MN
  • NPI 1841385697
  Medicare reassignment Care Compare group NPD
• Thomas Leonard Sticha, DC

  • Chiropractor
  • Savage, MN
  • NPI 1407941354
  Medicare reassignment NPD Authorized official
• Bridget Conway, D.C.

  • Chiropractor
  • Northfield, MN
  • NPI 1083985105
  NPD (past)
• Jason James Rosenbush, D.C.

  • Chiropractor
  • Winona, MN
  • NPI 1205908571
  NPD (past)
• Breanna Marie Seira Gonzalez, D.C.

  • Chiropractor
  • Savage, MN
  • NPI 1720210578
  NPD (past)
• Matthew Arthur Zager, DC

  • Chiropractor
  • Shakopee, MN
  • NPI 1902312085
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780753475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14020 HIGHWAY 13 S",
            "address_2": "SUITE 650",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553787100",
            "telephone_number": "952-447-8980",
            "fax_number": "952-447-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14020 HIGHWAY 13 S",
            "address_2": "SUITE 650",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553787100",
            "telephone_number": "952-447-8980",
            "fax_number": "952-447-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLCC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STICHA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-447-8980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69944580",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILED",
            "identifier": "75172PR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prior Lake Chiropractic Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kari Peterson
• Aaron Pfaff
• Ryan Timothy Pfundheller, D.D.S.
• Physiyo, LLC
• Jodi Jean Pinske, LICSW
• Thomas John Policano, D.C.
• Sarah Porterfield, PA-C
• Cynthia Post, R. N.
• Prestige Home Care, Inc
• Primary ENT, L.L.C. (Primary ENT)

• Chiropractor in Savage, MN
• Providers in Savage, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.