Active NPI
Michael Daniel Skryd, DC
- Rehabilitation Chiropractor
- Saint Charles, IL
National Provider Identifier
1609409200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 038.013526
- Practice address
- 40W378 Francis Bret Harte St
Saint Charles, IL 60175-7528 - Phone
- (630) 800-9859
- NPI assigned
- Feb 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 038.013526 | IL | Primary |
Addresses
Primary practice location
40W378 Francis Bret Harte St
Saint Charles, IL 60175-7528
Mailing address
40W378 Francis Bret Harte St
Saint Charles, IL 60175-7528
Phone (630) 800-9859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013526 | IL | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1609409200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40W378 FRANCIS BRET HARTE ST",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601757528",
"telephone_number": "630-800-9859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40W378 FRANCIS BRET HARTE ST",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601757528",
"telephone_number": "630-800-9859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKRYD",
"first_name": "MICHAEL",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-21",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "IL",
"license": "038.013526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.