Individual provider Active NPI

Stephen G Schoenherr, D.C.

  • Chiropractor
  • Saint Peters, MO
National Provider Identifier
1689663502
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CE006543 Issued in MO
Practice address
1365 Triad Center Dr
Suite B
Saint Peters, MO 63376-7352
Phone
(636) 477-8885
Fax
(636) 441-2670
NPI assigned
Oct 14, 2005
Last updated
Feb 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CE006543 MO Primary

Addresses

Primary practice location

1365 Triad Center Dr
Suite B
Saint Peters, MO 63376-7352

Mailing address

1365 Triad Center Dr
Suite B
Saint Peters, MO 63376-7352
Phone (636) 477-8885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000534 MO Practitioner - Chiropractic 1759416449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schoenherr Chiropractic IncGroup PAC ID 5294860987, 2 clinicians

Practice addresses (Care Compare)

1365 Triad Ctr Dr
Suite B
Saint Peters, MO 63376-7352
Phone (636) 477-8885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CE006543MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Schoenherr Chiropractic Inc. Chiropractor CurrentSince Apr 1, 2002 Accepting new patients

Locations

3920 S Old Highway 94
Ste 38
Saint Charles, MO 63304
Phone (636) 477-8885

1365 Triad Center Dr
#B
Saint Peters, MO 63376
Phone (636) 477-8885

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1689663502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 TRIAD CENTER DR",
            "address_2": "SUITE B",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767352",
            "telephone_number": "636-477-8885",
            "fax_number": "636-441-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 TRIAD CENTER DR",
            "address_2": "SUITE B",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767352",
            "telephone_number": "636-477-8885",
            "fax_number": "636-441-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENHERR",
        "first_name": "STEPHEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CE006543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.