Active NPI
Joshua Daniel Schroeder, D.C.
- Chiropractor
- Sioux Falls, SD
National Provider Identifier
1679842256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1204
- Practice address
- 5015 S Western Ave
Suite 160
Sioux Falls, SD 57108-2642 - Phone
- (507) 360-4462
- NPI assigned
- Dec 28, 2011
- Last updated
- Oct 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1204 | SD | Primary |
Addresses
Primary practice location
5015 S Western Ave
Suite 160
Sioux Falls, SD 57108-2642
Mailing address
5015 S Western Ave
Suite 160
Sioux Falls, SD 57108-2642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679842256 | Other | SD | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5015 S Western Ave
Suite 160
Sioux Falls, SD 57108-5025
Phone (605) 271-8160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1204 | SD | MD | Chiropractor |
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": "1325030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1679842256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5015 S WESTERN AVE",
"address_2": "SUITE 160",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5015 S WESTERN AVE",
"address_2": "SUITE 160",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082642",
"telephone_number": "507-360-4462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "JOSHUA",
"middle_name": "DANIEL",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-28",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "1204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1679842256",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.