Individual provider Active NPI

Jim Stephen Schilling, D.C.

  • Chiropractor
  • Fort Smith, AR
National Provider Identifier
1578738423
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15696 Issued in AR
Practice address
1200 S. Waldron Rd.
Ste155
Fort Smith, AR 72903-3074
Phone
(479) 420-6602
NPI assigned
Apr 22, 2008
Last updated
Jul 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5107 MN
Chiropractor 111N00000X 15696 AR Primary

Addresses

Primary practice location

1200 S. Waldron Rd.
Ste155
Fort Smith, AR 72903-3074

Mailing address

1200 S Waldron Rd
Ste155
Fort Smith, AR 72903-2629
Phone (479) 420-6602

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090407000585 AR Practitioner - Chiropractic 9234202516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Jim Schilling Chiropractic PAGroup PAC ID 4587973003, 2 clinicians

Practice addresses (Care Compare)

1150 S Waldron Rd
Fort Smith, AR 72903-2583
Phone (479) 452-4433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15696ARMDChiropractor
5107MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jim Schilling Chiropractic P.a. Chiropractor CurrentSince Jun 27, 2008 Accepting new patients
Spinal Trauma Recovery Inc Chiropractor PastSince Jan 8, 2023 Accepting new patients
Redwood Chiropractic PSC Chiropractor Past Accepting new patients

Locations

1150 S Waldron Rd
Fort Smith, AR 72903
Phone (479) 434-5500

1200 S Waldron Rd
Ste 155
Fort Smith, AR 72903
Phone (479) 452-0031

803 E Bridge St
Redwood Falls, MN 56283
Phone (320) 220-2661

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1578738423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S WALDRON RD",
            "address_2": "STE155",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032629",
            "telephone_number": "479-420-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S. WALDRON RD.",
            "address_2": "STE155",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033074",
            "telephone_number": "479-420-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLING",
        "first_name": "JIM",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5107",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.