Active NPI
Corey James Schneider, D.C.
- Rehabilitation Chiropractor
- Glendale, WI
National Provider Identifier
1497833636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 3825-012
- Practice address
- 5261 N Port Washington Rd
Suite 101
Glendale, WI 53217-4903 - Phone
- (414) 332-6001
- Fax
- (414) 332-3712
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 3825-012 | WI | Primary |
| Sports Physician Chiropractor | 111NS0005X | 3825-012 | WI |
Addresses
Primary practice location
5261 N Port Washington Rd
Suite 101
Glendale, WI 53217-4903
Mailing address
5261 N Port Washington Rd
Glendale, WI 53217-4903
Phone (414) 332-6001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201717946 | Other | WI | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5261 N Port Washington Rd
Suite 101
Glendale, WI 53217-4903
Phone (414) 332-6001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3825-012 | WI | MD | Sports Physician Chiropractor |
| 3825 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Partners, S.C. | Past | Accepting new patients | |
| Hetz Management, S.C. | Past | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Glendale, WI
- NPI 1396144127
-
- Massage Therapist
- Glendale, WI
- NPI 1326126434
-
- Rehabilitation Chiropractor
- Milwaukee, WI
- NPI 1205347564
-
- Chiropractor
- Waukesha, WI
- NPI 1871713289
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Chiropractor
- Waukesha, WI
- NPI 1497989073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1497833636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5261 N PORT WASHINGTON RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532174903",
"telephone_number": "414-332-6001",
"fax_number": "414-332-3712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5261 N PORT WASHINGTON RD",
"address_2": "SUITE 101",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532174903",
"telephone_number": "414-332-6001",
"fax_number": "414-332-3712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "COREY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "WI",
"license": "3825-012",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "WI",
"license": "3825-012",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "201717946",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.