Active NPI
Schroeder Chiropractic, PLLC
- Chiropractor
- St Louis Park, MN
National Provider Identifier
1578714226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- SCHROEDER CHIROPRACTIC, PLLC
- Practice address
- 5801 Cedar Lake Rd S
St Louis Park, MN 55416-1481 - Phone
- (952) 542-3908
- NPI assigned
- Sep 30, 2008
- Last updated
- Jul 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Rae Schroeder, D.C.
- Title
- Owner
- Phone
- (952) 542-3908
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary | |
| Acupuncturist | 171100000X | NU |
Addresses
Primary practice location
5801 Cedar Lake Rd S
St Louis Park, MN 55416-1481
Mailing address
5801 Cedar Lake Rd S
St Louis Park, MN 55416-1481
Phone (952) 542-3908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3AT57SC | Other | MN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5801 Cedar Lake Rd S
St Louis Park, MN 55416
Phone (952) 542-3908
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Chiropractor
- St Louis Park, MN
- NPI 1588793467
-
- Chiropractor
- Saint Paul, MN
- NPI 1841517687
-
- Chiropractor
- St Louis Park, MN
- NPI 1073789400
-
- Chiropractor
- Plainview, MN
- NPI 1154450278
-
- Chiropractor
- Shakopee, MN
- NPI 1265626147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247616000000",
"number": "1578714226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 CEDAR LAKE RD S",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161481",
"telephone_number": "952-542-3908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 CEDAR LAKE RD S",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161481",
"telephone_number": "952-542-3908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHROEDER CHIROPRACTIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-30",
"last_updated": "2009-07-15",
"status": "A",
"authorized_official_last_name": "SCHROEDER",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "952-542-3908",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3AT57SC",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.