Individual provider Active NPI

Chad Christopher Schmidt, D.C.

  • Chiropractor
  • Johnstown, PA
National Provider Identifier
1669879037
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010959 Issued in PA
Practice address
1115 Havana St
Johnstown, PA 15904-1014
Phone
(215) 518-1043
NPI assigned
Dec 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010959 PA Primary

Addresses

Primary practice location

1115 Havana St
Johnstown, PA 15904-1014

Mailing address

1115 Havana St
Johnstown, PA 15904-1014
Phone (215) 518-1043

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150513000109 PA Practitioner - Chiropractic 6709105661 Reassigns benefits to 2 organizations
Practice locations: Johnstown, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKolosky Chiropractic, PCGroup PAC ID 4789622713, 4 clinicians

Practice addresses (Care Compare)

401 Theatre Dr
Johnstown, PA 15904-2838
Phone (814) 269-3116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schmidt Chiropractic Chiropractor CurrentSince Mar 10, 2024 Accepting new patients
McKolosky Chiropractic, P.C. Chiropractor CurrentSince Jan 1, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1701 Bethlehem Pike
Flourtown, PA 19031
Phone (215) 233-2276

401 Theatre Dr
Johnstown, PA 15904
Phone (814) 269-3116

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1669879037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 HAVANA ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041014",
            "telephone_number": "215-518-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 HAVANA ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041014",
            "telephone_number": "215-518-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "CHAD",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.