Individual provider Active NPI

Daniel Patrick Schoaf, D.C.

  • Chiropractor
  • Forreston, IL
National Provider Identifier
1700845104
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008283 Issued in IL
Practice address
210 S 1St Avenue
Forreston, IL 61030-0307
Phone
(815) 938-2225
Fax
(815) 938-9225
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 S 1St Ave
Forreston, IL 61030-7705
Phone (815) 821-3456

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100528000070 IL Practitioner - Chiropractic 7517096605 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008283ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Schoaf Family Chiropractic LLC Chiropractor CurrentSince Mar 1, 2010 Accepting new patients
Liles Chiropractic Clinic LTD. Chiropractor PastSince Jan 1, 1995 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008283 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

210 S 1St Avenue
Forreston, IL 61030-0307

Mailing address

210 S 1St Avenue
Forreston, IL 61030-0307
Phone (815) 938-2225

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 22, 2010.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1700845104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S 1ST AVENUE",
            "city": "FORRESTON",
            "state": "IL",
            "postal_code": "610300307",
            "telephone_number": "815-938-2225",
            "fax_number": "815-938-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 1ST AVENUE",
            "city": "FORRESTON",
            "state": "IL",
            "postal_code": "610300307",
            "telephone_number": "815-938-2225",
            "fax_number": "815-938-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOAF",
        "first_name": "DANIEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forreston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.