Individual provider Active NPI

Caleb Schoonover

  • Chiropractor
  • Grand Forks, ND
National Provider Identifier
1669948048
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1091 Issued in ND
Practice address
3750 32ND Ave S Ste 103
Grand Forks, ND 58201-5998
Phone
(701) 775-1034
Fax
(701) 775-8241
NPI assigned
Oct 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1091 ND Primary

Addresses

Primary practice location

3750 32ND Ave S Ste 103
Grand Forks, ND 58201-5998

Mailing address

3750 32ND Ave S
Ste 103
Grand Forks, ND 58201-5998
Phone (701) 775-1034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190109000736 ND Practitioner - Chiropractic 9931445137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plains Chiropractic and Acupuncture PCGroup PAC ID 3971660663, 3 clinicians

Practice addresses (Care Compare)

3750 32ND Ave S
Suite 103
Grand Forks, ND 58201-5998
Phone (701) 361-8482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1091NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Plains Chiropractic & Acupuncture PC Chiropractor CurrentSince Oct 25, 2018 Accepting new patients

Locations

3750 32nd Ave S
Ste 103
Grand Forks, ND 58201
Phone (701) 361-8482

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1669948048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 32ND AVE S",
            "address_2": "STE 103",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015998",
            "telephone_number": "701-775-1034",
            "fax_number": "701-775-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 32ND AVE S STE 103",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015998",
            "telephone_number": "701-775-1034",
            "fax_number": "701-775-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOONOVER",
        "first_name": "CALEB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.