Jonathan D Schaller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008682 Issued in NY

Practice address

23 Broad St
Hamilton, NY 13346-1303

Phone

(315) 824-2504

Fax

(315) 824-2504

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Khalsa Chiropractic Office P.C.Group PAC ID 1456416882, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Khalsa Chiropractic Office P.C.

  • Chiropractor
  • Cambridge, MA
  • NPI 1952430589
  Medicare reassignment Care Compare group NPD
• Sports Group Physical Therapy

  • Physical Therapy Clinic/Center
  • Cambridge, MA
  • NPI 1316395361
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093898736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BROAD ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461303",
            "telephone_number": "315-824-2504",
            "fax_number": "315-824-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BROAD ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461303",
            "telephone_number": "315-824-2504",
            "fax_number": "315-824-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALLER",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS REGESTRATION",
            "identifier": "X008682",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Rodman, OTR/L
• Denise A Roe, OPTICIAN
• Rudolph a. Buckley, M.D., P.C.
• Jeffrey Mark Sakal, REGISTERED NURSE RN
• Patricia A Samson, MS, LMHC, NCC
• Serenity Care Facilities LLC
• Shelby Lynn Sharp, FNP-C
• Madeleine Slifka
• Southern Madison County Volunteer Ambulance Corps Inc
• Vicky Stephens, PA-C

• Chiropractor in Hamilton, NY
• Providers in Hamilton, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.