Individual provider Active NPI

Courtney Ann Carmichael Schwartz, DC

  • Chiropractor
  • Spencer, IA
National Provider Identifier
1659352391
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06398 Issued in IA
Practice address
1204 W 18TH St
Spencer, IA 51301-2817
Phone
(712) 264-8829
Fax
(712) 264-8849
NPI assigned
Nov 9, 2005
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06398 IA Primary

Addresses

Primary practice location

1204 W 18TH St
Spencer, IA 51301-2817

Mailing address

PO Box 1334
1204 W 18TH St
Spencer, IA 51301-2817
Phone (712) 264-8829

Other identifiers 1

IdentifierTypeStateIssuer
0272782MedicaidIA

Other names 1

  • Courtney Ann Carmichael Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051025000394 IA Practitioner - Chiropractic 0143299669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1204 W 18TH St
Schwartz Chiropractic Clinic
Spencer, IA 51301-2817
Phone (712) 264-8829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schwartz Harvest Chiro CLC Chiropractor CurrentSince Jul 31, 2021 Accepting new patients

Locations

1201 Main St
Emmetsburg, IA 50536
Phone (712) 852-8285

1204 W 18th St
Spencer, IA 51301
Phone (712) 264-8829

2016 Highway Blvd
Ste 2
Spencer, IA 51301
Phone (712) 264-8829

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1659352391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1334",
            "address_2": "1204 W 18TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012817",
            "telephone_number": "712-264-8829",
            "fax_number": "712-264-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 W 18TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012817",
            "telephone_number": "712-264-8829",
            "fax_number": "712-264-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL SCHWARTZ",
        "first_name": "COURTNEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0272782",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "CARMICHAEL",
            "middle_name": "ANN",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spencer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.