Individual provider Active NPI

Claire Dean Schill, DR.

  • Chiropractor
  • Casselberry, FL
National Provider Identifier
1629052097
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0004640 Issued in FL
Practice address
480 State Road 436
Casselberry, FL 32707-4911
Phone
(407) 788-7100
Fax
(407) 339-3526
NPI assigned
Nov 30, 2005
Last updated
Jul 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X CH 4640 FL
Sports Physician Chiropractor 111NS0005X CH 4640 FL
Chiropractor 111N00000X CH0004640 FL Primary

Addresses

Primary practice location

480 State Road 436
Casselberry, FL 32707-4911

Mailing address

480 S.R. 436
Casselberry, FL 32707
Phone (407) 788-7100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517001587 FL Practitioner - Chiropractic 5092705350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

480 E State Rd
Suite 436
Casselberry, FL 32707-4911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0004640FLMDChiropractor
CH 4640FLMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Claire D. Schill DC PA Chiropractor CurrentSince Jan 1, 1983 Accepting new patients

Locations

480 State Road 436
Casselberry, FL 32707
Phone (407) 788-7100

Organizations & group practices 1

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1629052097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 S.R. 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "32707",
            "telephone_number": "407-788-7100",
            "fax_number": "407-339-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 STATE ROAD 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327074911",
            "telephone_number": "407-788-7100",
            "fax_number": "407-339-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILL",
        "first_name": "CLAIRE",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DR.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH 4640",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH 4640",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0004640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.