Active NPI
James Lyle Schroder, DC
- Chiropractor
- Cleveland, TN
National Provider Identifier
1215025051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- TN001123
- Practice address
- 3372 Keith St NW
Cleveland, TN 37312-3718 - Phone
- (423) 476-4751
- Fax
- (423) 339-2692
- NPI assigned
- Oct 10, 2006
- Last updated
- Aug 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | TN001123 | TN | Primary |
Addresses
Primary practice location
3372 Keith St NW
Cleveland, TN 37312-3718
Mailing address
3372 Keith St NW
Cleveland, TN 37312-3718
Phone (423) 476-4751
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN001123 | TN | MD | Chiropractor |
| 1123 | TN | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jalex, LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Cleveland, TN
- NPI 1134414584
-
- General Practice Physician
- Cleveland, TN
- NPI 1881950889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1215025051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3372 KEITH ST NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123718",
"telephone_number": "423-476-4751",
"fax_number": "423-339-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3372 KEITH ST NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123718",
"telephone_number": "423-476-4751",
"fax_number": "423-339-2692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRODER",
"first_name": "JAMES",
"middle_name": "LYLE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "TN001123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.