Organization Active NPI

Schneider Chiropractic PLLC

  • Chiropractor
  • Kingsport, TN
National Provider Identifier
1558732859
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SCHNEIDER CHIROPRACTIC PLLC
Practice address
230 Island St
Kingsport, TN 37660-4814
Phone
(423) 573-1028
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Dr. Heather Renee Schneider, D.CNPI 1437529328
Title
Owner
Phone
(423) 573-1028

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 Primary

Addresses

Primary practice location

230 Island St
Kingsport, TN 37660-4814

Mailing address

4016 Bloomingdale Rd
Kingsport, TN 37660-7063
Phone (423) 573-1028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160201001564 TN Part B Supplier - Clinic/Group Practice 6709186620 Receives reassigned benefits from 1 practitioner
Practice locations: Kingsport, TN

National Provider Directory

National Provider Directory

Locations

1921 Highway 394
Ste E
Blountville, TN 37617
Phone (423) 573-1028

230 Island St
Kingsport, TN 37660
Phone (423) 573-1028

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1558732859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 BLOOMINGDALE RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607063",
            "telephone_number": "423-573-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 ISLAND ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604814",
            "telephone_number": "423-573-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHNEIDER CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-573-1028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.