Individual provider Active NPI

Jacob Glenn Schumann, DC

  • Chiropractor
  • Prosper, TX
National Provider Identifier
1184103632
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13828 Issued in TX
Practice address
1061 N Coleman St Ste 130
Prosper, TX 75078-2317
Phone
(972) 818-5820
NPI assigned
Aug 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13828 TX Primary

Addresses

Primary practice location

1061 N Coleman St Ste 130
Prosper, TX 75078-2317

Mailing address

1061 N Coleman St Ste 130
Prosper, TX 75078-2317
Phone (972) 818-5820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181218000205 TX Practitioner - Chiropractic 0143571182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1061 N Coleman St
Suite 130
Prosper, TX 75078-2317
Phone (972) 818-5820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13828TXMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Chiropractic Company LLC Chiropractor CurrentSince Oct 1, 2018 Accepting new patients

Locations

1061 N Coleman St
Ste 130
Prosper, TX 75078
Phone (972) 818-5820

Organizations & group practices 1

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": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1184103632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 N COLEMAN ST STE 130",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782317",
            "telephone_number": "972-818-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 N COLEMAN ST STE 130",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782317",
            "telephone_number": "972-818-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMANN",
        "first_name": "JACOB",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.