Individual provider Active NPI

Grant A Schneider Sr., DC

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1386652915
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006082 Issued in MI
Practice address
37625 Ann Arbor Rd
Suite 111
Livonia, MI 48150-2400
Phone
(734) 462-2262
Fax
(734) 462-6232
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301006082 MI Primary

Addresses

Primary practice location

37625 Ann Arbor Rd
Suite 111
Livonia, MI 48150-2400

Mailing address

37625 Ann Arbor Rd
Suite 111
Livonia, MI 48150-2400
Phone (734) 462-2262

Other identifiers 1

IdentifierTypeStateIssuer
OH27087OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110621000770 MI Practitioner - Chiropractic 7911185905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37625 Ann Arbor Rd
Suite 111
Livonia, MI 48150-2400
Phone (734) 462-2262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Crossing Chiropractic Life Center, PLC Chiropractor CurrentSince Mar 25, 2011 Accepting new patients
Dr Thomas J Mickelsen, P.C. Chiropractor PastSince Mar 25, 2011 Accepting new patients
Grand River Chiropractic Life Center Chiropractor Past Accepting new patients

Locations

37625 Ann Arbor Rd
Ste 111
Livonia, MI 48150
Phone (734) 462-2262

37625 Ann Arbor Rd
Ste 1
Livonia, MI 48150

Organizations & group practices 3

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1386652915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37625 ANN ARBOR RD",
            "address_2": "SUITE 111",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502400",
            "telephone_number": "734-462-2262",
            "fax_number": "734-462-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37625 ANN ARBOR RD",
            "address_2": "SUITE 111",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502400",
            "telephone_number": "734-462-2262",
            "fax_number": "734-462-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "GRANT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "OH27087",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.