Organization Active NPI

Stadther Chiropractic, LTD.

  • Chiropractor
  • Saint Cloud, MN
National Provider Identifier
1831144450
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STADTHER CHIROPRACTIC, LTD.
Practice address
3337 W Saint Germain St
Suite #109
Saint Cloud, MN 56301-8503
Phone
(320) 202-0577
Fax
(320) 202-0578
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jason J Stadther, DCNPI 1548218019
Title
President/Chiropractor
Phone
(320) 202-0577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3337 W Saint Germain St
Suite #109
Saint Cloud, MN 56301-8503

Mailing address

3337 W Saint Germain St
Suite #109
Saint Cloud, MN 56301-8503
Phone (320) 202-0577

Other names 1

  • Meridian Disc Institute Doing business as

National Provider Directory

National Provider Directory

Locations

3337 W Saint Germain St
Ste 109
Saint Cloud, MN 56301
Phone (320) 202-0577

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831144450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 W SAINT GERMAIN ST",
            "address_2": "SUITE #109",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563018503",
            "telephone_number": "320-202-0577",
            "fax_number": "320-202-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3337 W SAINT GERMAIN ST",
            "address_2": "SUITE #109",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563018503",
            "telephone_number": "320-202-0577",
            "fax_number": "320-202-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STADTHER CHIROPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STADTHER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "320-202-0577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Disc Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Cloud, MN

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.