Active NPI
Fred T. Schmidt, D.C.
- Chiropractor
- Massapequa, NY
National Provider Identifier
1063504587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X8396
- Practice address
- 4150 Merrick Rd Ste D
Massapequa, NY 11758-6028 - Phone
- (516) 799-8888
- Fax
- (516) 799-8888
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 | X8396 | NY | Primary |
Addresses
Primary practice location
4150 Merrick Rd Ste D
Massapequa, NY 11758-6028
Mailing address
4150 Merrick Rd Ste D
Massapequa, NY 11758-6028
Phone (516) 799-8888
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X8396 | NY | MD | Chiropractor |
| 008396 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Chiropractic and Acupuncture of Park Slope,PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurology Chiropractor
- Brooklyn, NY
- NPI 1366925950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063504587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 MERRICK RD STE D",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586028",
"telephone_number": "516-799-8888",
"fax_number": "516-799-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 MERRICK RD STE D",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586028",
"telephone_number": "516-799-8888",
"fax_number": "516-799-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "FRED",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X8396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.