Organization Active NPI

William Schroeder Chiropractic

  • Chiropractor
  • Altoona, PA
National Provider Identifier
1063510428
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006321L Issued in PA
Legal business name
WILLIAM SCHROEDER CHIROPRACTIC
Practice address
217 Union Ave FL 2
Altoona, PA 16602-3247
Phone
(814) 937-0925
Fax
(732) 244-2775
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
William Schroeder, D.C.NPI 1518925940
Title
Owner
Phone
(814) 937-0925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC006321L PA Primary

Addresses

Primary practice location

217 Union Ave FL 2
Altoona, PA 16602-3247

Mailing address

217 Union Ave FL 2
Altoona, PA 16602-3247
Phone (814) 937-0925

Other identifiers 1

IdentifierTypeStateIssuer
001585663004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160929001272 PA Part B Supplier - Clinic/Group Practice 5395032619 Receives reassigned benefits from 1 practitioner
Practice locations: Altoona, PA

National Provider Directory

National Provider Directory

Locations

217 Union Ave
Altoona, PA 16602
Phone (814) 505-4426

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1063510428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 UNION AVE FL 2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166023247",
            "telephone_number": "814-937-0925",
            "fax_number": "732-244-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 UNION AVE FL 2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166023247",
            "telephone_number": "814-937-0925",
            "fax_number": "732-244-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM SCHROEDER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-937-0925",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006321L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001585663004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.