Schroder Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SCHRODER CHIROPRACTIC LLC

Practice address

1221 W Ben White Blvd Ste 110a
Austin, TX 78704-6888

Phone

(737) 222-6014

Fax

(737) 222-5986

NPI assigned

Jan 25, 2021

Last updated

Mar 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hagen Schroder, D.C.NPI 1053863571

Title

Chiropractor

Phone

(737) 222-6014

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hagen Patrick Schroder, DC

  • Chiropractor
  • Austin, TX
  • NPI 1053863571
  Medicare reassignment NPD Authorized official
• Glen Jeffrey Wilkinson

  • Chiropractor
  • Austin, TX
  • NPI 1801391495
  NPD (past)

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1548850308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD STE 110A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046888",
            "telephone_number": "737-222-6014",
            "fax_number": "737-222-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD STE 110A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046888",
            "telephone_number": "737-222-6014",
            "fax_number": "737-222-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHRODER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-03-11",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "SCHRODER",
        "authorized_official_first_name": "HAGEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "737-222-6014",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "552311ZX6W",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammi Suzanne Schrager, LCSW
• Richard Arnold Schram, M.D.
• David L Schrieber, LMSW, LCDC
• Gerry Schriever, MA, LPC
• Leslie Jennifer Schriever, LPC
• Hagen Patrick Schroder, DC
• Carl Schroeder, PSYD
• Cynthia L. Schroeder, MD
• Jessica Lynn Schroeder
• John M Schroeder

• Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.