Individual provider Active NPI

Christopher Schumann, D.C.

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1184017493
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012724 Issued in IL
Practice address
4915 Utica Ridge Rd
Davenport, IA 52807-3063
Phone
(563) 823-5555
NPI assigned
Mar 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012724 IL Primary

Addresses

Primary practice location

4915 Utica Ridge Rd
Davenport, IA 52807-3063

Mailing address

4915 Utica Ridge Rd
Davenport, IA 52807-3063
Phone (563) 823-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151023002406 IL Practitioner - Chiropractic 7719292101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2014
Medicare assignment
May accept Medicare assignment
Group practices
One Health Chiropractic LTDGroup PAC ID 5294040671, 3 clinicians

Practice addresses (Care Compare)

21100 S 80TH Ave
Frankfort, IL 60423-9187
Phone (815) 464-0104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
One Health Chiropractic, LTD Chiropractor CurrentSince Mar 18, 2015 Accepting new patients
Tri-Med Health & Wellness Center, PC Chiropractor PastSince Jan 1, 2003 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1184017493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 UTICA RIDGE RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073063",
            "telephone_number": "563-823-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 UTICA RIDGE RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073063",
            "telephone_number": "563-823-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMANN",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.