NPIMap

Individual provider Active NPI

Sherry Lynn Schneider, D.C.,C.A.C.C.P.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1720063548
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30335 Issued in CA
Practice address
7420 Clairemont Mesa Blvd. Suite 120
San Diego, CA 92111
Phone
(858) 514-8204
Fax
(858) 514-8207
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034520 WA
Chiropractor 111N00000X 30335 CA Primary

Addresses

Primary practice location

7420 Clairemont Mesa Blvd. Suite 120
San Diego, CA 92111

Mailing address

7420 Clairemont Mesa Blvd. Suite 120
San Diego, CA 92111
Phone (858) 514-8204

Other names 1

  • Dr. Sherry Sandstede Former name

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

State licenses

LicenseStateTypeSpecialty
CH00034520WAMDChiropractor
30335CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Walia Chiropractic, Inc Chiropractor PastSince Feb 20, 2018 Accepting new patients
Mark WM Houk ,D.C. P.S. Chiropractor PastSince Jan 1, 1994 Accepting new patients
Houk Chiropractic-Coeur D'Alene P.C. Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1720063548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 CLAIREMONT MESA BLVD. SUITE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92111",
            "telephone_number": "858-514-8204",
            "fax_number": "858-514-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 CLAIREMONT MESA BLVD. SUITE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92111",
            "telephone_number": "858-514-8204",
            "fax_number": "858-514-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.,C.A.C.C.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034520",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "SANDSTEDE",
            "prefix": "DR.",
            "credential": "D.C., C.A.C.C.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.