Jacob Schmitz, DC, MS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2020035077 Issued in MO

Practice address

380 Beckley PL
Saint Charles, MO 63304-1029

Phone

(636) 448-2644

NPI assigned

Oct 19, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Jake Schmitz Chiropractic LLC

  • Chiropractor
  • O Fallon, MO
  • NPI 1467053918
  NPD Authorized official

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1164021408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 BECKLEY PL",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633041029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 BECKLEY PL",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633041029",
            "telephone_number": "636-448-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "JACOB",
        "credential": "DC, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-19",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "2020035077",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2020035077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerie Darlene Schmidt, LCSW
• Kathleen M Schmidt, PT
• Robert J Schmidt, DDS
• Cecilia A. Schmittling Schweig, MSW
• Annette Schmitz
• Allyson Schmuck, MS SLP
• Kelly Schneider
• Michelle Ann Schneider, P.T., D.P.T., O.C.S.
• Noreen Marie Schneider, PT
• Thomas A Schneider II, M.D.

• Chiropractor in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.