Individual provider Active NPI

Rustin Robert Schreiner, DC

  • Chiropractor
  • Auburn, WA
National Provider Identifier
1184855413
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60101664 Issued in WA
Practice address
1101 Supermall Way Ste 1269
Auburn, WA 98001-6535
Phone
(253) 269-0261
Fax
(253) 269-0202
NPI assigned
Aug 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60101664 WA Primary

Addresses

Primary practice location

1101 Supermall Way Ste 1269
Auburn, WA 98001-6535

Mailing address

18909 34TH Ave E
Tacoma, WA 98446-1166
Phone (253) 219-5960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101213000978 WA Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 3375730674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Life Chiropractic College - West, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Foundation Chiropractic PSGroup PAC ID 8123315314, 2 clinicians

Practice addresses (Care Compare)

1118 Outlet Collection Way SW
Suite 101
Auburn, WA 98001-6569
Phone (253) 269-0261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1184855413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18909 34TH AVE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984461166",
            "telephone_number": "253-219-5960",
            "fax_number": "253-236-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SUPERMALL WAY STE 1269",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980016535",
            "telephone_number": "253-269-0261",
            "fax_number": "253-269-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREINER",
        "first_name": "RUSTIN",
        "middle_name": "ROBERT",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60101664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.