Organization Active NPI

Frederick M Vanderschaaf DC PA

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1174742787
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0003754 Issued in FL
Legal business name
FREDERICK M VANDERSCHAAF DC PA
Practice address
982 Douglas Avenue
Suite 102
Altamonte Springs, FL 32714-5201
Phone
(407) 862-3900
Fax
(407) 862-7624
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frederick Martin Vanderschaaf, DC DABCO FIAMA
Title
Chiropractic Physician
Phone
(407) 862-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH0003754 FL Primary

Addresses

Primary practice location

982 Douglas Avenue
Suite 102
Altamonte Springs, FL 32714-5201

Mailing address

982 Douglas Avenue
Suite 102
Altamonte Springs, FL 32714-5201
Phone (407) 862-3900

Other identifiers 1

IdentifierTypeStateIssuer
88848OtherBCBS

Other names 1

  • VanderSchaaf Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174742787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 DOUGLAS AVENUE",
            "address_2": "SUITE 102",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145201",
            "telephone_number": "407-862-3900",
            "fax_number": "407-862-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 DOUGLAS AVENUE",
            "address_2": "SUITE 102",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145201",
            "telephone_number": "407-862-3900",
            "fax_number": "407-862-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK M VANDERSCHAAF DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANDERSCHAAF",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "407-862-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC DABCO FIAMA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0003754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88848",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VanderSchaaf Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.