Organization Active NPI

Schillinger Chiropractic Group Inc

  • Chiropractor
  • San Rafael, CA
National Provider Identifier
1093743460
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SCHILLINGER CHIROPRACTIC GROUP INC
Practice address
119 Paul Dr Ste a
San Rafael, CA 94903-2087
Phone
(415) 491-0959
Fax
(415) 491-1847
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Dr. Mark Schillinger, DCNPI 1609053156
Title
DC Owner
Phone
(415) 491-0959

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 Primary

Addresses

Primary practice location

119 Paul Dr Ste a
San Rafael, CA 94903-2087

Mailing address

119 Paul Dr Ste a
San Rafael, CA 94903-2087
Phone (415) 491-0959

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071211000785 CA Part B Supplier - Clinic/Group Practice 3274623467 Receives reassigned benefits from 1 practitioner
Practice locations: San Rafael, CA

National Provider Directory

National Provider Directory

Locations

1050 Northgate Dr
Ste 1
San Rafael, CA 94903
Phone (415) 491-0959

119 Paul Dr
Ste A
San Rafael, CA 94903
Phone (415) 491-0959

Practitioners & affiliated clinicians

Practitioners 1

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": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1093743460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PAUL DR STE A",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032087",
            "telephone_number": "415-491-0959",
            "fax_number": "415-491-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 PAUL DR STE A",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032087",
            "telephone_number": "415-491-0959",
            "fax_number": "415-491-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHILLINGER CHIROPRACTIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "SCHILLINGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DC OWNER",
        "authorized_official_telephone_number": "415-491-0959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.