Individual provider Active NPI

Herb Schillerstrom, D.C.

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1194844522
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3847AZ Issued in AZ
Practice address
5745 N Scottsdale Rd
Suite B100
Scottsdale, AZ 85250-5902
Phone
(623) 293-6063
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3847AZ AZ Primary

Addresses

Primary practice location

5745 N Scottsdale Rd
Suite B100
Scottsdale, AZ 85250-5902

Mailing address

PO Box 6463
Peoria, AZ 85385-6463
Phone (623) 293-6063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3847AZAZMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194844522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6463",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853856463",
            "telephone_number": "623-293-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745 N SCOTTSDALE RD",
            "address_2": "SUITE B100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852505902",
            "telephone_number": "623-293-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLERSTROM",
        "first_name": "HERB",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3847AZ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.