Individual provider Active NPI

Jackson Schroeder, DC

  • Chiropractor
  • Durango, CO
National Provider Identifier
1376352054
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0008896 Issued in CO
Practice address
305 S Camino del Rio
Durango, CO 81303-6697
Phone
(970) 422-1766
NPI assigned
Jan 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0008896 CO Primary

Addresses

Primary practice location

305 S Camino del Rio
Durango, CO 81303-6697

Mailing address

305 S Camino del Rio Ste S
Durango, CO 81303-6880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250811000113 CO Practitioner - Chiropractic 9638677594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Pathfinder Chiropractic, PCGroup PAC ID 1557610102, 3 clinicians

Practice addresses (Care Compare)

305 S Camino del Rio
Suite S
Durango, CO 81303-6880
Phone (970) 422-1766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0008896COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathfinder Chiropractic, PC Chiropractor CurrentSince Jul 29, 2025 Accepting new patients

Locations

305 S Camino del Rio
Ste S
Durango, CO 81303
Phone (970) 422-1766

305 S Camino del Rio
Durango, CO 81303
Phone (970) 422-1766

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1376352054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S CAMINO DEL RIO STE S",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S CAMINO DEL RIO",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036697",
            "telephone_number": "970-422-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JACKSON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0008896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.