Individual provider Active NPI

Jeffrey Kent Schroeder, D.C.

  • Chiropractor
  • Lawrence, KS
National Provider Identifier
1003890922
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
K01-69-1153 Issued in KS
Practice address
1820 W 6TH St
Lawrence, KS 66044-1709
Phone
(785) 856-7600
Fax
(785) 856-7511
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X K01-69-1153 KS Primary

Addresses

Primary practice location

1820 W 6TH St
Lawrence, KS 66044-1709

Mailing address

1820 W 6TH St
Lawrence, KS 66044-1709
Phone (785) 856-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Young Chiropractic, LLC Chiropractor Past Accepting new patients
Lawrence Chiropractic Wellness Center Chiropractor PastSince Feb 18, 2008 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1003890922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441709",
            "telephone_number": "785-856-7600",
            "fax_number": "785-856-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441709",
            "telephone_number": "785-856-7600",
            "fax_number": "785-856-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JEFFREY",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "K01-69-1153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.