Organization Active NPI

Claire D. Schill DC PA

  • Chiropractor
  • Casselberry, FL
National Provider Identifier
1629310339
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 4640 Issued in FL
Legal business name
CLAIRE D. SCHILL DC PA
Practice address
480 State Road 436
Casselberry, FL 32707-4911
Phone
(407) 788-7100
Fax
(407) 339-3526
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dr. Claire Dean Schill, D.C.NPI 1629052097
Title
Owner
Phone
(407) 788-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 4640 FL Primary

Addresses

Primary practice location

480 State Road 436
Casselberry, FL 32707-4911

Mailing address

480 East Sr 436
Casselberry, FL 32707-4911
Phone (407) 788-7100

Other identifiers 1

IdentifierTypeStateIssuer
380298100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130409000532 FL Part B Supplier - Clinic/Group Practice 8123264553 Receives reassigned benefits from 2 practitioners
Practice locations: Casselberry, FL

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1629310339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 EAST SR 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327074911",
            "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": {
        "organization_name": "CLAIRE D. SCHILL DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "SCHILL",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-788-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 4640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380298100",
            "state": "FL"
        }
    ],
    "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 May 21, 2013; 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.

Verify at the official NPI Registry.