Organization Active NPI

Schmidt Chiropractic Clinc, P.a.

  • Chiropractor
  • Woodbury, MN
National Provider Identifier
1346426525
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SCHMIDT CHIROPRACTIC CLINC, P.A.
Practice address
8360 City Centre Dr Ste 110
Woodbury, MN 55125-3381
Phone
(651) 735-2400
Fax
(651) 735-2410
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Authorized official

Name
Mrs. Julie Ann Schmidt
Title
Office Manager/Owner
Phone
(651) 295-4108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

8360 City Centre Dr Ste 110
Woodbury, MN 55125-3381

Mailing address

8360 City Centre Dr Ste 110
Woodbury, MN 55125-3381
Phone (651) 735-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081209000636 MN Part B Supplier - Clinic/Group Practice 8123189115 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbury, MN

National Provider Directory

National Provider Directory

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": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1346426525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8360 CITY CENTRE DR STE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253381",
            "telephone_number": "651-735-2400",
            "fax_number": "651-735-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 CITY CENTRE DR STE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253381",
            "telephone_number": "651-735-2400",
            "fax_number": "651-735-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHMIDT CHIROPRACTIC CLINC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER/OWNER",
        "authorized_official_telephone_number": "651-295-4108",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.