Individual provider Active NPI

Alan Robert Schroeder, D.C.

  • Chiropractor
  • Santa Barbara, CA
National Provider Identifier
1710907217
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC11031 Issued in CA
Practice address
38 S la Cumbre Rd Ste 2
Santa Barbara, CA 93105-6130
Phone
(805) 692-4933
Fax
(805) 964-0552
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

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 DC11031 CA Primary

Addresses

Primary practice location

38 S la Cumbre Rd Ste 2
Santa Barbara, CA 93105-6130

Mailing address

38 S la Cumbre Rd Ste 2
Santa Barbara, CA 93105-6130
Phone (805) 692-4933

Other identifiers 1

IdentifierTypeStateIssuer
DC0110310MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120718000851 CA Practitioner - Chiropractic 7012173099 Practice locations: Santa Barbara, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11031CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Holistic Health Ctr Acupuncture & Chiropractic Inc. Past Accepting new patients

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710907217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 S LA CUMBRE RD STE 2",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056130",
            "telephone_number": "805-692-4933",
            "fax_number": "805-964-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 S LA CUMBRE RD STE 2",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056130",
            "telephone_number": "805-692-4933",
            "fax_number": "805-964-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "ALAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC11031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0110310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.