Individual provider Active NPI

Roger G. Schardijn, D.C.

  • Chiropractor
  • Littleton, CO
National Provider Identifier
1053482679
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4747 Issued in CO
Practice address
7950 S Lincoln St
Suite 111F
Littleton, CO 80122-2727
Phone
(303) 471-2277
Fax
(303) 471-8277
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4747 CO Primary

Addresses

Primary practice location

7950 S Lincoln St
Suite 111F
Littleton, CO 80122-2727

Mailing address

7950 S Lincoln St
Suite 111F
Littleton, CO 80122-2727
Phone (303) 471-2277

Other identifiers 2

IdentifierTypeStateIssuer
DC 21118OtherCACHIROPRACTIC LICENSE
RS11583OtherBLUE CROSS #

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1053482679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 S LINCOLN ST",
            "address_2": "SUITE 111F",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222727",
            "telephone_number": "303-471-2277",
            "fax_number": "303-471-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 S LINCOLN ST",
            "address_2": "SUITE 111F",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222727",
            "telephone_number": "303-471-2277",
            "fax_number": "303-471-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARDIJN",
        "first_name": "ROGER",
        "middle_name": "G.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC 21118",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS #",
            "identifier": "RS11583",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.