Organization Active NPI

Schroeder Chiropractic PC

  • Chiropractor
  • Coralville, IA
National Provider Identifier
1417227091
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06867 Issued in IA
Legal business name
SCHROEDER CHIROPRACTIC PC
Practice address
850 22ND Ave
Coralville, IA 52241-1688
Phone
(319) 358-8999
Fax
(319) 834-1128
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Dr. Aaron Schroeder, DC
Title
Chiropractor
Phone
(319) 358-8999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 06867 IA Primary

Addresses

Primary practice location

850 22ND Ave
Coralville, IA 52241-1688

Mailing address

850 22ND Ave
Coralville, IA 52241-1688
Phone (319) 358-8999

Other identifiers 1

IdentifierTypeStateIssuer
0499657MedicaidIA

National Provider Directory

National Provider Directory

Locations

850 22nd Ave
Coralville, IA 52241
Phone (319) 358-8999

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1417227091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 22ND AVE",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411688",
            "telephone_number": "319-358-8999",
            "fax_number": "319-834-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 22ND AVE",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411688",
            "telephone_number": "319-358-8999",
            "fax_number": "319-834-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHROEDER CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "319-358-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0499657",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.