Active NPI
Clayton Lee Schoellerman, D.C.
- Chiropractor
- Sioux Center, IA
National Provider Identifier
1003103318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007444
- Practice address
- 782 4TH Ave NE
Sioux Center, IA 51250-2002 - Phone
- (712) 722-0547
- NPI assigned
- Jul 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007444 | IA | Primary |
Addresses
Primary practice location
782 4TH Ave NE
Sioux Center, IA 51250-2002
Mailing address
782 4TH Ave NE
Sioux Center, IA 51250-2002
Phone (712) 722-0547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110721000893 | IA | Practitioner - Chiropractic | 9931377744 | Practice locations: Sioux Center, IA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
782 4TH Ave NE
Sioux Center, IA 51250-2002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007444 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1003103318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "782 4TH AVE NE",
"city": "SIOUX CENTER",
"state": "IA",
"postal_code": "512502002",
"telephone_number": "712-722-0547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "782 4TH AVE NE",
"city": "SIOUX CENTER",
"state": "IA",
"postal_code": "512502002",
"telephone_number": "712-722-0547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOELLERMAN",
"first_name": "CLAYTON",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-07",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Center, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.