Active NPI
Schneider Chiropratic Office SC
- Chiropractor
- Green Bay, WI
National Provider Identifier
1598065849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2662
- Legal business name
- SCHNEIDER CHIROPRATIC OFFICE SC
- Practice address
- 2696 Noel Dr
Green Bay, WI 54311-6729 - Phone
- (920) 465-9020
- Fax
- (920) 465-9020
- NPI assigned
- Nov 2, 2010
- 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
- Jill S Wilson
- Title
- Office Manager
- Phone
- (920) 465-9020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2662 | WI | Primary |
Addresses
Primary practice location
2696 Noel Dr
Green Bay, WI 54311-6729
Mailing address
2696 Noel Dr
Green Bay, WI 54311-6729
Phone (920) 465-9020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350052795 | Other | WI | RAILROAD MEDICARE |
| 3885160 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101206000568 | WI | Part B Supplier - Clinic/Group Practice | 0840487617 |
Receives reassigned benefits from 2 practitioners Practice locations: Green Bay, WI |
National Provider Directory
National Provider DirectoryLocations
2696 Noel Dr
Green Bay, WI 54311
Phone (920) 465-9020
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Green Bay, WI
- NPI 1255928099
-
- Chiropractor
- Green Bay, WI
- NPI 1629155783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288656000000",
"number": "1598065849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2696 NOEL DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116729",
"telephone_number": "920-465-9020",
"fax_number": "920-465-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2696 NOEL DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116729",
"telephone_number": "920-465-9020",
"fax_number": "920-465-9020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHNEIDER CHIROPRATIC OFFICE SC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-02",
"last_updated": "2010-11-02",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "920-465-9020"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "2662",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350052795",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3885160",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.