Individual provider Active NPI

Paul K Schmidt

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1629040373
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 12273 Issued in CA
Practice address
5301 Madison Ave
301
Sacramento, CA 95841-3146
Phone
(916) 331-7878
Fax
(916) 331-7945
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 12273 CA Primary
Occupational Health Chiropractor 111NX0100X DC 12273 CA
Orthopedic Chiropractor 111NX0800X DC 12273 CA

Addresses

Primary practice location

5301 Madison Ave
301
Sacramento, CA 95841-3146

Mailing address

5301 Madison Ave
301
Sacramento, CA 95841-3146
Phone (916) 331-7878

Other identifiers 1

IdentifierTypeStateIssuer
T04698OtherCAHILL PHYSICIAN MED GROUP

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 12273CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1629040373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 MADISON AVE",
            "address_2": "301",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413146",
            "telephone_number": "916-331-7878",
            "fax_number": "916-331-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 MADISON AVE",
            "address_2": "301",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413146",
            "telephone_number": "916-331-7878",
            "fax_number": "916-331-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "PAUL",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 12273",
            "primary": true
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "DC 12273",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC 12273",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HILL PHYSICIAN MED GROUP",
            "identifier": "T04698",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.