Timothy Paul Schneider, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3317-012 Issued in WI

Practice address

5401 Douglas Ave
Racine, WI 53402-2034

Phone

(262) 681-8829

Fax

(262) 681-8830

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Caledonia Chiropractic Clinic, SC

  • Chiropractor
  • Racine, WI
  • NPI 1881605111
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1356400519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 DOUGLAS AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534022034",
            "telephone_number": "262-681-8829",
            "fax_number": "262-681-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 DOUGLAS AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534022034",
            "telephone_number": "262-681-8829",
            "fax_number": "262-681-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "TIMOTHY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3317-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38899500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Schiveley, PHARMD
• Amanda Rose Schmidt, APNP
• Reed Michael Schmidt, OD
• Daniel J Schnadt, D.O.
• Brian Schneider, RN
• Ann Schnepf-Visor, PHARMD
• Zachary Schoening, PT
• Michael W. Schuetz, M.D.
• Ronald E. Schulgit, M.D.
• Tyler A Schultz

• Chiropractor in Racine, WI
• Providers in Racine, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.