Organization Active NPI

Schwartz Harvest Chiro CLC

  • Chiropractor
  • Spencer, IA
National Provider Identifier
1326131012
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06398 Issued in IA
Legal business name
SCHWARTZ HARVEST CHIRO CLC
Practice address
1204 West 18TH St
Spencer, IA 51301
Phone
(712) 264-8829
Fax
(712) 264-8849
NPI assigned
Oct 2, 2006
Last updated
Nov 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Dr. Courtney Ann Carmichael Schwartz, DCNPI 1659352391
Title
Employee
Phone
(712) 264-8829

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 06398 IA Primary

Addresses

Primary practice location

1204 West 18TH St
Spencer, IA 51301

Mailing address

PO Box 1334
Spencer, IA 51301-1334
Phone (712) 264-8829

Other identifiers 1

IdentifierTypeStateIssuer
0276337MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040930000492 IA Part B Supplier - Clinic/Group Practice 8628047248 Receives reassigned benefits from 1 practitioner
Practice locations: Spencer, IA

National Provider Directory

National Provider Directory

Locations

1201 Main St
Emmetsburg, IA 50536
Phone (712) 852-8285

3004 Main St
Emmetsburg, IA 50536
Phone (712) 852-8282

1204 W 18th St
Spencer, IA 51301
Phone (712) 264-8829

2016 Highway Blvd
Ste 2
Spencer, IA 51301
Phone (712) 264-8829

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1326131012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1334",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513011334",
            "telephone_number": "712-264-8829",
            "fax_number": "712-264-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 WEST 18TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "51301",
            "telephone_number": "712-264-8829",
            "fax_number": "712-264-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHWARTZ HARVEST CHIRO CLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "CARMICHAEL SCHWARTZ",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "712-264-8829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0276337",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.

Verify at the official NPI Registry.