Organization Active NPI

Schiller Family Chiropractic, LLC

  • Chiropractor
  • Avon, CT
National Provider Identifier
1508135591
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
939 Issued in CT
Legal business name
SCHILLER FAMILY CHIROPRACTIC, LLC
Practice address
25 Bailey Rd
Avon, CT 06001-3671
Phone
(860) 676-9660
Fax
(860) 676-9159
NPI assigned
Dec 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Dr. David Schiller, D.C.NPI 1386773380
Title
Owner
Phone
(860) 676-9660

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 939 CT Primary

Addresses

Primary practice location

25 Bailey Rd
Avon, CT 06001-3671

Mailing address

25 Bailey Rd
Avon, CT 06001-3671
Phone (860) 676-9660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120208000078 CT Part B Supplier - Clinic/Group Practice 5890952550 Receives reassigned benefits from 1 practitioner
Practice locations: Avon, CT

National Provider Directory

National Provider Directory
Tax ID family
Schiller Family Chiropractic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25 Bailey Rd
Avon, CT 06001
Phone (860) 676-9660

Practitioners & affiliated clinicians

Practitioners 1

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": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1508135591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BAILEY RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013671",
            "telephone_number": "860-676-9660",
            "fax_number": "860-676-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BAILEY RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013671",
            "telephone_number": "860-676-9660",
            "fax_number": "860-676-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHILLER FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "SCHILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-676-9660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.