Active NPI
Richard Schilo
- Chiropractor
- Woodstock, GA
National Provider Identifier
1356540843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR007375
- Legal business name
- RICHARD SCHILO
- Practice address
- 715A Bascomb Commercial Pkwy
Woodstock, GA 30189-2466 - Phone
- (770) 924-9400
- Fax
- (770) 924-3100
- NPI assigned
- Jul 13, 2007
- 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. Richard L Schilo Jr., D.C
- Title
- Owner
- Phone
- (770) 529-3231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR007375 | GA | Primary |
Addresses
Primary practice location
715A Bascomb Commercial Pkwy
Woodstock, GA 30189-2466
Mailing address
PO Box 2736
Acworth, GA 30102-0013
Phone (770) 529-3231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120509000273 | GA | Part B Supplier - Clinic/Group Practice | 8527220508 | Practice locations: Woodstock, GA |
National Provider Directory
National Provider DirectoryLocations
715A Bascomb Commercial Pkwy
Woodstock, GA 30189
Phone (770) 529-3231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320796800000",
"number": "1356540843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2736",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301020013",
"telephone_number": "770-529-3231",
"fax_number": "770-529-3231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715A BASCOMB COMMERCIAL PKWY",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301892466",
"telephone_number": "770-924-9400",
"fax_number": "770-924-3100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD SCHILO",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-13",
"last_updated": "2011-11-09",
"status": "A",
"authorized_official_last_name": "SCHILO",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-529-3231",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR007375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.