Individual provider Active NPI

James W Schmiedel, DC

  • Chiropractor
  • Charles City, IA
National Provider Identifier
1700966595
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06403 Issued in IA
Practice address
904 Ferguson Street
Charles City, IA 50616-2222
Phone
(641) 228-1665
Fax
(641) 228-1727
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06403 IA Primary

Addresses

Primary practice location

904 Ferguson Street
Charles City, IA 50616-2222

Mailing address

904 Ferguson Street
Charles City, IA 50616-2222
Phone (641) 228-1665

Other identifiers 1

IdentifierTypeStateIssuer
0228650MedicaidIA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Breitbach Office LLC Chiropractor CurrentSince Dec 5, 2020 Accepting new patients

Locations

904 Ferguson St
Charles City, IA 50616
Phone (515) 228-1665

119 N Jackson St
Charles City, IA 50616
Phone (641) 228-1665

119 N Jackson St
Ofc Llc
Charles City, IA 50616
Phone (641) 228-1665

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700966595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 FERGUSON STREET",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506162222",
            "telephone_number": "641-228-1665",
            "fax_number": "641-228-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 FERGUSON STREET",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506162222",
            "telephone_number": "641-228-1665",
            "fax_number": "641-228-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIEDEL",
        "first_name": "JAMES",
        "middle_name": "W",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0228650",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.