Individual provider Active NPI

Robert A Schmitt, D.C.

  • Chiropractor
  • Motley, MN
National Provider Identifier
1083605505
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3140 Issued in MN
Practice address
180 Highway 10 N
Box 86
Motley, MN 56466-9055
Phone
(218) 352-6753
Fax
(218) 352-8309
NPI assigned
Nov 3, 2005
Last updated
Sep 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3140 MN Primary

Addresses

Primary practice location

180 Highway 10 N
Box 86
Motley, MN 56466-9055

Mailing address

180 Highway 10 N
P.O. Box 86
Motley, MN 56466-9055
Phone (218) 352-6753

Other identifiers 1

IdentifierTypeStateIssuer
559323900MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000765 MN Practitioner - Chiropractic 6901849926 Practice locations: Motley, MN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

180 Hwy 10 N
Motley, MN 56466-9055
Phone (218) 352-6753

PO Box
Suite 86
Motley, MN 56466

PO Box
Suite 86
Motley, MN 56466-0086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3140MNMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1083605505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HIGHWAY 10 N",
            "address_2": "P.O. BOX 86",
            "city": "MOTLEY",
            "state": "MN",
            "postal_code": "564669055",
            "telephone_number": "218-352-6753",
            "fax_number": "218-352-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 HIGHWAY 10 N",
            "address_2": "BOX 86",
            "city": "MOTLEY",
            "state": "MN",
            "postal_code": "564669055",
            "telephone_number": "218-352-6753",
            "fax_number": "218-352-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITT",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "559323900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Motley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.

Verify at the official NPI Registry.