Organization Active NPI

Schmidt Family Chiropractic PC

  • Chiropractor
  • Glendale, AZ
National Provider Identifier
1154349728
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5951 Issued in AZ
Legal business name
SCHMIDT FAMILY CHIROPRACTIC PC
Practice address
4494 W Peoria Ave Ste 116
Glendale, AZ 85302-2025
Phone
(623) 842-1261
Fax
(623) 334-0182
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Dr. Bruce Schmidt, D.C.
Title
President
Phone
(623) 842-1261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5951 AZ Primary

Addresses

Primary practice location

4494 W Peoria Ave Ste 116
Glendale, AZ 85302-2025

Mailing address

4494 W Peoria Ave Ste 116
Glendale, AZ 85302-2025
Phone (623) 842-1261

Other identifiers 1

IdentifierTypeStateIssuer
AZ0935120OtherAZBCBS OF ARIZONA

National Provider Directory

National Provider Directory

Locations

5140 W Peoria Ave
Ste 108
Glendale, AZ 85302
Phone (623) 842-1261

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1154349728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVE STE 116",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022025",
            "telephone_number": "623-842-1261",
            "fax_number": "623-334-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVE STE 116",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022025",
            "telephone_number": "623-842-1261",
            "fax_number": "623-334-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHMIDT FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-842-1261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARIZONA",
            "identifier": "AZ0935120",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.