Organization Active NPI

Schollmeyer Family Chiropractic, PC

  • Chiropractor
  • Fremont, NE
National Provider Identifier
1669706289
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1160 Issued in NE
Legal business name
SCHOLLMEYER FAMILY CHIROPRACTIC, PC
Practice address
2415 E 23Rd Ave S Ste 200
Fremont, NE 68025-2423
Phone
(402) 721-5500
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Dr. Charles Schollmeyer, DCNPI 1306801741
Title
Doctor/President
Phone
(402) 721-5500

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 1160 NE Primary

Addresses

Primary practice location

2415 E 23Rd Ave S Ste 200
Fremont, NE 68025-2423

Mailing address

2415 E 23Rd Ave S Ste 200
Fremont, NE 68025-2423
Phone (402) 721-5500

Other practice location 1

1920 N Bell St
Fremont, NE 68025-2761
Phone (402) 721-5500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091020000087 NE Part B Supplier - Clinic/Group Practice 2567509805 Receives reassigned benefits from 1 practitioner
Practice locations: Fremont, NE

National Provider Directory

National Provider Directory

Locations

2415 E 23rd Ave S
Ste 200
Fremont, NE 68025
Phone (402) 721-5500

Practitioners & affiliated clinicians

Practitioners 1

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": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1669706289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 E 23RD AVE S STE 200",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252423",
            "telephone_number": "402-721-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 E 23RD AVE S STE 200",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252423",
            "telephone_number": "402-721-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 N Bell St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NE",
            "postal_code": "680252761",
            "country_code": "US",
            "telephone_number": "402-721-5500",
            "fax_number": "402-721-6474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCHOLLMEYER FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "SCHOLLMEYER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "402-721-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.