Michael Walter Schwartz, D.C.
Individual provider Active NPI Chiropractor · Long Lake, MN
NPI 1376584656 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1376584656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4799 (MN)
- Practice address
- 1865 W Wayzata Blvd
Ste 200
Long Lake, MN 55356-4100 - Phone
- (952) 473-3588
- Fax
- (952) 697-0752
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1865 W Wayzata Blvd
Suite 200
Long Lake, MN 55356-4100
Phone (952) 473-3588
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200410000037 | MN | Practitioner - Chiropractic | 2567467541 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4799 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Chiropractic & Rehabilitation Clinic | Chiropractor | Past | Accepting new patients |
| Health 1St Chiropractic and Wellness Center, P.C. | Chiropractor | Past | Accepting new patients |
| Healing Tree Chiropractic, PA | Chiropractor | Past | Accepting new patients |
| Minnesota Health and Wellness Clinics Inc. | Chiropractor | Past |
Accepting new patients |
Interoperability endpoints
- michael.schwartz.1@29676.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4799 | MN | Yes |
Addresses
Primary practice location
1865 W Wayzata Blvd
Ste 200
Long Lake, MN 55356-4100
Mailing address
1865 W Wayzata Blvd
Ste 200
Long Lake, MN 55356-4100
Phone (952) 473-3588
Other providers in Long Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.