Individual provider Active NPI

John Jefferson Schmidt, DC

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1487716973
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104828 Issued in KS
Practice address
10400 W 103Rd St
Suite 20
Overland Park, KS 66214-2664
Phone
(913) 385-5444
Fax
(913) 385-7385
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104828 KS Primary

Addresses

Primary practice location

10400 W 103Rd St
Suite 20
Overland Park, KS 66214-2664

Mailing address

10400 W 103Rd St
Suite 20
Overland Park, KS 66214-2664
Phone (913) 385-5444

Other identifiers 1

IdentifierTypeStateIssuer
KA1502001OtherKSMEDICARE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427001265 KS Practitioner - Chiropractic 8325035801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10400 W 103Rd St
Suite 20
Overland Park, KS 66214-2664
Phone (913) 385-5444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Chiropractic, P.a. Chiropractor CurrentSince Jul 20, 2009 Accepting new patients
Fulk Chiropractic PA Chiropractor PastSince Jan 1, 1996 Accepting new patients
Hammond Chiropractic Center LLC Chiropractor Past Accepting new patients

Locations

10400 W 103rd St
Ste 20
Overland Park, KS 66214
Phone (913) 385-5444

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1487716973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 W 103RD ST",
            "address_2": "SUITE 20",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662142664",
            "telephone_number": "913-385-5444",
            "fax_number": "913-385-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 W 103RD ST",
            "address_2": "SUITE 20",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662142664",
            "telephone_number": "913-385-5444",
            "fax_number": "913-385-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JOHN",
        "middle_name": "JEFFERSON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "KA1502001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.