Hillside Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3678 Issued in MN

Legal business name

HILLSIDE CHIROPRACTIC CLINIC

Practice address

19449 Evans St NW
Suite a
Elk River, MN 55330-1074

Phone

(763) 241-5393

NPI assigned

Aug 5, 2007

Last updated

Aug 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Paul SchneiderNPI 1194749135

Title

Owner

Phone

(763) 241-5393

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Schneider, D.C.

  • Chiropractor
  • Elk River, MN
  • NPI 1194749135
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1679764690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19449 EVANS ST NW",
            "address_2": "SUITE A",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19449 EVANS ST NW",
            "address_2": "SUITE A",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301074",
            "telephone_number": "763-241-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-241-5393",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03D80HI",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heritage Maples LLC (BeeHive Homes of Elk River)
• Kelly Lynn Herman, MA, LPCC
• Rodney Jerome Hess, OD
• Jaime Nicole Hetzler, PHARMD
• Thomas John Hickey, DDS
• Sarah Hinrichs
• Elisabeth Hiol Hiol
• Jennifer Hipp, LICSW
• Gary Mark Hoffard, O.D.
• Greta Jo Hokanson, DNP, APRN, FNP-BC

• Chiropractor in Elk River, MN
• Providers in Elk River, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.