Active NPI
Erik R Schmidt, DC
- Chiropractor
- Moscow, PA
National Provider Identifier
1174545750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC6782L
- Practice address
- 1186 Church Street
Moscow, PA 18444 - Phone
- (570) 842-5131
- Fax
- (570) 842-5126
- NPI assigned
- Jul 24, 2006
- Last updated
- Jul 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC6782L | PA | Primary |
| Chiropractor | 111N00000X | AJ006782L | PA |
Addresses
Primary practice location
1186 Church Street
Moscow, PA 18444
Mailing address
1186 Church Street
Moscow, PA 18444
Phone (570) 842-5131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016428120006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AJ006782L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocco Diana DC, P.C. | Chiropractor | Current | Accepting new patients |
| Awaken Optimal Health LLC | Chiropractor | Past | Accepting new patients |
Locations
1186 Church St
Moscow, PA 18444
Phone (570) 842-5131
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Moscow, PA
- NPI 1992810212
-
- Chiropractor
- Dickson City, PA
- NPI 1598254492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1174545750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1186 CHURCH STREET",
"city": "MOSCOW",
"state": "PA",
"postal_code": "18444",
"telephone_number": "570-842-5131",
"fax_number": "570-842-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1186 CHURCH STREET",
"city": "MOSCOW",
"state": "PA",
"postal_code": "18444",
"telephone_number": "570-842-5131",
"fax_number": "570-842-5126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "ERIK",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC6782L",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "AJ006782L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016428120006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moscow, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.