Organization Active NPI

Schneider Chiropractic Inc.

  • Chiropractor
  • Shelby Township, MI
National Provider Identifier
1457393837
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005114 Issued in MI
Legal business name
SCHNEIDER CHIROPRACTIC INC.
Practice address
51863 Schoenherr Rd
Suite 102
Shelby Township, MI 48315-2757
Phone
(586) 726-1620
Fax
(586) 726-1621
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Dr. Mark A Schneider, D.C.
Title
President
Phone
(586) 726-1620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301005114 MI Primary

Addresses

Primary practice location

51863 Schoenherr Rd
Suite 102
Shelby Township, MI 48315-2757

Mailing address

51863 Schoenherr Rd
Suite 102
Shelby Township, MI 48315-2757
Phone (586) 726-1620

Other identifiers 1

IdentifierTypeStateIssuer
1651357MedicaidMI

National Provider Directory

National Provider Directory

Locations

8078 21 Mile Rd
Shelby Township, MI 48317
Phone (586) 726-1620

48945 Van Dyke Ave
Ste 3
Shelby Township, MI 48317
Phone (586) 726-1620

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1457393837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51863 SCHOENHERR RD",
            "address_2": "SUITE 102",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152757",
            "telephone_number": "586-726-1620",
            "fax_number": "586-726-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51863 SCHOENHERR RD",
            "address_2": "SUITE 102",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152757",
            "telephone_number": "586-726-1620",
            "fax_number": "586-726-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHNEIDER CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-726-1620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1651357",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.