Individual provider Active NPI

Alvin Ray Schwerdtfager, D.C.

  • Nutrition Chiropractor
  • Lindsborg, KS
National Provider Identifier
1508896655
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
01-03688 Issued in KS
Practice address
136 N Main St
Lindsborg, KS 67456-2227
Phone
(785) 227-2633
Fax
(785) 227-4193
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01-03688 KS
Nutrition Chiropractor 111NN1001X 01-03688 KS Primary

Addresses

Primary practice location

136 N Main St
Lindsborg, KS 67456-2227

Mailing address

136 N Main St
Lindsborg, KS 67456-2227
Phone (785) 227-2633

Other identifiers 3

IdentifierTypeStateIssuer
007203OtherKSBCBS PN FOR LINDSBORG
01-03688OtherKSSTATE CERTIFICATE NUMBER
023728OtherKSBCBS PN FOR SALINA OFFICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112001088 KS Practitioner - Chiropractic 0345204095 Practice locations: Lindsborg, KS; Salina, KS

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

136 N Main St
Lindsborg, KS 67456-2227
Phone (785) 227-2633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-03688KSMDNutrition Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1508896655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N MAIN ST",
            "city": "LINDSBORG",
            "state": "KS",
            "postal_code": "674562227",
            "telephone_number": "785-227-2633",
            "fax_number": "785-227-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N MAIN ST",
            "city": "LINDSBORG",
            "state": "KS",
            "postal_code": "674562227",
            "telephone_number": "785-227-2633",
            "fax_number": "785-227-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWERDTFAGER",
        "first_name": "ALVIN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "01-03688",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "KS",
            "license": "01-03688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PN FOR LINDSBORG",
            "identifier": "007203",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CERTIFICATE NUMBER",
            "identifier": "01-03688",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PN FOR SALINA OFFICE",
            "identifier": "023728",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindsborg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.