Active NPI
Schomaker Chiropractic Clinic, P.C.
- Chiropractor
- Elk River, MN
National Provider Identifier
1265507651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3405
- Legal business name
- SCHOMAKER CHIROPRACTIC CLINIC, P.C.
- Practice address
- 19022 Freeport St. NW
Suite D
Elk River, MN 55330 - Phone
- (763) 253-2000
- Fax
- (762) 241-2191
- NPI assigned
- Nov 21, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Troy Schomaker, D.C., B.S.
- Title
- President
- Phone
- (763) 253-2000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3405 | MN | Primary |
Addresses
Primary practice location
19022 Freeport St. NW
Suite D
Elk River, MN 55330
Mailing address
19022 Freeport St. NW
Suite D
Elk River, MN 55330
Phone (763) 253-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
19022 Freeport St NW
Ste D
Elk River, MN 55330
Phone (763) 253-2000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Elk River, MN
- NPI 1336134972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265507651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19022 FREEPORT ST. NW",
"address_2": "SUITE D",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "55330",
"telephone_number": "763-253-2000",
"fax_number": "762-241-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19022 FREEPORT ST. NW",
"address_2": "SUITE D",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "55330",
"telephone_number": "763-253-2000",
"fax_number": "762-241-2191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHOMAKER CHIROPRACTIC CLINIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHOMAKER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "TROY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "763-253-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C., B.S."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.