Organization Active NPI

Scherer Family Chiropractic S C

  • Chiropractor
  • Menasha, WI
National Provider Identifier
1508061284
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1944 Issued in WI
Legal business name
SCHERER FAMILY CHIROPRACTIC S C
Practice address
884 W Airport Rd
Menasha, WI 54952-1453
Phone
(920) 725-6933
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Dr. Thomas Scherer, D.C.NPI 1649226960
Title
Chiropractor
Phone
(920) 725-6933

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1944 WI Primary

Addresses

Primary practice location

884 W Airport Rd
Menasha, WI 54952-1453

Mailing address

884 W Airport Rd
Menasha, WI 54952-1453

Other identifiers 4

IdentifierTypeStateIssuer
483740182901OtherWIBCBS
390728638009OtherWIBCBS
38794600MedicaidWI
38792300MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080411000093 WI Part B Supplier - Clinic/Group Practice 3870670086 Receives reassigned benefits from 2 practitioners
Practice locations: Menasha, WI

National Provider Directory

National Provider Directory

Locations

884 W Airport Rd
Menasha, WI 54952
Phone (920) 725-6933

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1508061284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 W AIRPORT RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 W AIRPORT RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521453",
            "telephone_number": "920-725-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHERER FAMILY CHIROPRACTIC S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "SCHERER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-725-6933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "483740182901",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "390728638009",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38794600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38792300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menasha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.