Organization Active NPI

Steadfast Chiropractic PLLC

  • Chiropractor
  • Saline, MI
National Provider Identifier
1336662873
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010288 Issued in MI
Legal business name
STEADFAST CHIROPRACTIC PLLC
Practice address
974 E Michigan Ave
Saline, MI 48176-1586
Phone
(734) 999-0165
Fax
(734) 822-6499
NPI assigned
Jul 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Dr. Andrew Schneider, DCNPI 1396135695
Title
Owner
Phone
(734) 999-0165

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301010288 MI Primary

Addresses

Primary practice location

974 E Michigan Ave
Saline, MI 48176-1586

Mailing address

974 E Michigan Ave
Saline, MI 48176-1586
Phone (734) 999-0165

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170817002549 MI Part B Supplier - Clinic/Group Practice 4082986567 Receives reassigned benefits from 1 practitioner
Practice locations: Saline, MI

National Provider Directory

National Provider Directory

Locations

974 E Michigan Ave
Saline, MI 48176
Phone (734) 999-0165

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1336662873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 E MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761586",
            "telephone_number": "734-999-0165",
            "fax_number": "734-822-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 E MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761586",
            "telephone_number": "734-999-0165",
            "fax_number": "734-822-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEADFAST CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-999-0165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.