Organization Active NPI

S & S Chiropractic Clinic Inc.

Doing business as Schneider Family Chiropractic

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1407803364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JS008108 Issued in MI
Legal business name
S & S CHIROPRACTIC CLINIC INC.
Doing business as
Schneider Family Chiropractic
Practice address
4835 Cascade Rd SE
Suite #2
Grand Rapids, MI 49546-3764
Phone
(616) 949-9010
Fax
(616) 949-9012
NPI assigned
May 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Brian Schneider, D.C.NPI 1881640969
Title
President
Phone
(616) 949-9010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X JS008108 MI Primary

Addresses

Primary practice location

4835 Cascade Rd SE
Suite #2
Grand Rapids, MI 49546-3764

Mailing address

4835 Cascade Rd SE
Suite #2
Grand Rapids, MI 49546-3764
Phone (616) 949-9010

Other identifiers 1

IdentifierTypeStateIssuer
4412496MedicaidMI

Other names 1

  • Schneider Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060622000035 MI Part B Supplier - Clinic/Group Practice 1759393499 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Locations

4835 Cascade Rd SE
Ste 2
Grand Rapids, MI 49546
Phone (616) 949-9010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407803364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 CASCADE RD SE",
            "address_2": "SUITE #2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463764",
            "telephone_number": "616-949-9010",
            "fax_number": "616-949-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 CASCADE RD SE",
            "address_2": "SUITE #2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463764",
            "telephone_number": "616-949-9010",
            "fax_number": "616-949-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & S CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-949-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JS008108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4412496",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schneider Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.