Active NPI
FJ Schofield, D.C.
- Chiropractor
- West Bend, WI
National Provider Identifier
1023349321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4575-012
- Practice address
- 820 E Paradise Dr
West Bend, WI 53095-5383 - Phone
- (262) 334-8188
- Fax
- (262) 334-8166
- NPI assigned
- Jan 26, 2010
- Last updated
- May 11, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8105 | AZ | |
| Chiropractor | 111N00000X | 4575-012 | WI | Primary |
Addresses
Primary practice location
820 E Paradise Dr
West Bend, WI 53095-5383
Mailing address
820 E Paradise Dr
West Bend, WI 53095-5383
Phone (262) 334-8188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2100 Gateway CT
Suite 100
West Bend, WI 53095-8550
Phone (262) 334-8188
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8105 | AZ | MD | Chiropractor |
| 4575-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mushin PLLC | Chiropractor | Current | Accepting new patients |
| Integrative Medical and Wellness, LLC | Past | Accepting new patients | |
| Podolak Chiropractic Center LLC | Past | Accepting new patients | |
| Fred Schofield PC | Chiropractor | Past | Accepting new patients |
Locations
2100 Gateway Ct
Ste 100
West Bend, WI 53095
Phone (262) 334-8188
820 E Paradise Dr
West Bend, WI 53095
Phone (262) 334-8188
Organizations & group practices 4
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.
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- NPI 1699015446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1023349321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 E PARADISE DR",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530955383",
"telephone_number": "262-334-8188",
"fax_number": "602-938-5084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 E PARADISE DR",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530955383",
"telephone_number": "262-334-8188",
"fax_number": "262-334-8166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOFIELD",
"first_name": "FJ",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-26",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8105",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4575-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.