Jon Tyler Schwanz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4268 Issued in OH

Practice address

1222 Pray Blvd Ste 1
Waterville, OH 43566-8717

Phone

(419) 878-8142

Fax

(419) 878-8143

NPI assigned

Apr 18, 2012

Last updated

Sep 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rebel Chiropractic LLCGroup PAC ID 7416238183, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rebel Chiropractic LLC

  • Chiropractor
  • Waterville, OH
  • NPI 1104368026
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1609133412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 PRAY BLVD STE 1",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435668717",
            "telephone_number": "419-878-8142",
            "fax_number": "419-878-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 PRAY BLVD STE 1",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435668717",
            "telephone_number": "419-878-8142",
            "fax_number": "419-878-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWANZ",
        "first_name": "JON",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C Robinson, O.D.
• Debbie Rohloff
• Margaret Jane Ryan
• Jamie Lynn Sarno, RPH
• Jacquelyn Scharringhausen, PTA
• Jon W Schwanz, D.C.
• Sarah Jane Schyllander
• Jennifer W Seagert
• Rebecca L Siders, D.O.
• Madison Nicole Smith, OD

• Chiropractor in Waterville, OH
• Providers in Waterville, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.