Individual provider Active NPI

Scott Michael Schreiber, DC

  • Rehabilitation Chiropractor
  • Woodbury, MN
National Provider Identifier
1396802294
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
F1-0000606 Issued in DE
Practice address
8360 City Centre Dr Ste 120
Woodbury, MN 55125-3381
Phone
(302) 507-6725
Fax
(651) 768-5059
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F10000606 DE
Rehabilitation Chiropractor 111NR0400X F1-0000606 DE Primary

Addresses

Primary practice location

8360 City Centre Dr Ste 120
Woodbury, MN 55125-3381

Mailing address

8360 City Centre Dr Ste 120
Woodbury, MN 55125-3381
Phone (302) 507-6725

Other identifiers 5

IdentifierTypeStateIssuer
1057846OtherDECIGNA PPO
1701059OtherDEAMERIHEALTH PPO
386606CHIOtherDEBLUE CROSS AND BLUE SHIEL
268577OtherDECOVENTRY
2372429000OtherDEAMERIHEALTH HMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180417001229 MN Practitioner - Chiropractic 2365412459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott M. Schreiber, DC, P.a.Group PAC ID 7012270457, 2 clinicians

Practice addresses (Care Compare)

8360 City Centre Dr
Suite 100
Woodbury, MN 55125-3381
Phone (651) 459-3171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F10000606DEMDChiropractor
F1-0000606DEMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scott M. Schreiber, DC, P.a. Chiropractor CurrentSince Mar 13, 2018 Accepting new patients

Locations

8360 City Centre Dr
Ste 100
Woodbury, MN 55125
Phone (651) 459-3171

8360 City Centre Dr
Ste 120
Woodbury, MN 55125
Phone (651) 459-3171

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1396802294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8360 CITY CENTRE DR STE 120",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253381",
            "telephone_number": "302-507-6725",
            "fax_number": "651-768-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 CITY CENTRE DR STE 120",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253381",
            "telephone_number": "302-507-6725",
            "fax_number": "651-768-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIBER",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F10000606",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "DE",
            "license": "F1-0000606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "1057846",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "1701059",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "386606CHI",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "268577",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "2372429000",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.