Individual provider Active NPI

David Schinnerer, DC

  • Chiropractor
  • Altadena, CA
National Provider Identifier
1740457589
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC19975 Issued in CA
Practice address
2177 N Lake Ave
Altadena, CA 91001-2412
Phone
(626) 791-0237
NPI assigned
May 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC19975 CA Primary

Addresses

Primary practice location

2177 N Lake Ave
Altadena, CA 91001-2412

Mailing address

2177 N Lake Ave
Altadena, CA 91001-2412
Phone (626) 791-0237

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041218000080 CA Practitioner - Chiropractic 6709843097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

638 W Duarte Rd
Suite 16
Arcadia, CA 91007-7672
Phone (626) 791-0237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC19975CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Schinnerer Chiropractic Inc. CurrentSince Jun 1, 2003 Accepting new patients
Schinnerer Chiropractic, Inc Chiropractor Past Accepting new patients

Locations

2177 Lake Ave
Altadena, CA 91001
Phone (626) 791-0237

638 W Duarte Rd
Ste 16
Arcadia, CA 91007
Phone (626) 340-3742

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.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1740457589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 N LAKE AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012412",
            "telephone_number": "626-791-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 N LAKE AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012412",
            "telephone_number": "626-791-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHINNERER",
        "first_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.