Active NPI
John D Schaaf, DC
- Chiropractor
- Normal, IL
National Provider Identifier
1689804411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011416
- Practice address
- 214 S Linden St
Normal, IL 61761-3077 - Phone
- (309) 454-8622
- NPI assigned
- Jul 14, 2009
- 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 | 038011416 | IL | Primary |
Addresses
Primary practice location
214 S Linden St
Normal, IL 61761-3077
Mailing address
214 S Linden St
Normal, IL 61761-3077
Phone (309) 454-8622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038011416 | Other | IL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1689804411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 S LINDEN ST",
"city": "NORMAL",
"state": "IL",
"postal_code": "617613077",
"telephone_number": "309-454-8622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 S LINDEN ST",
"city": "NORMAL",
"state": "IL",
"postal_code": "617613077",
"telephone_number": "309-454-8622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAAF",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-14",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "038011416",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.