Organization Active NPI

Richard Schilo

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1356540843
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007375 Issued in GA
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

Updated by the provider on Nov 9, 2011

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20120509000273 GA Part B Supplier - Clinic/Group Practice 8527220508 Practice locations: Woodstock, GA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.