Individual provider Active NPI

Joshua Schreiner, D.C.

  • Chiropractor
  • Verona, WI
National Provider Identifier
1245775063
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5236 - 12 Issued in WI
Practice address
901 Kimball LN
# 1100
Verona, WI 53593-1748
Phone
(608) 848-0058
NPI assigned
Jan 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5236 - 12 WI Primary

Addresses

Primary practice location

901 Kimball LN
# 1100
Verona, WI 53593-1748

Mailing address

901 Kimball LN
# 1100
Verona, WI 53593-1748
Phone (608) 848-0058

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170207001169 WI Practitioner - Chiropractic 3375825243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

901 Kimball LN
Unit 1100
Verona, WI 53593-1752
Phone (608) 848-0058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5236 - 12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McRoberts Chiropractic, LLC Chiropractor CurrentSince Jan 4, 2017 Accepting new patients
Schreiner Family Chiropractic LLC Chiropractor CurrentSince Jan 4, 2017 Accepting new patients

Locations

901 Kimball Ln
Unit 1100
Verona, WI 53593
Phone (608) 848-0058

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": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1245775063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 KIMBALL LN",
            "address_2": "# 1100",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931748",
            "telephone_number": "608-848-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 KIMBALL LN",
            "address_2": "# 1100",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931748",
            "telephone_number": "608-848-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREINER",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5236 - 12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.