Organization Active NPI

Schoon Chiropractic PC

  • Chiropractor
  • Brandon, SD
National Provider Identifier
1750425583
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
731 Issued in SD
Legal business name
SCHOON CHIROPRACTIC PC
Practice address
700 N Splitrock Blvd
Brandon, SD 57005-2000
Phone
(605) 582-7333
Fax
(605) 582-3544
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Robert J Schoon, DCNPI 1821269861
Title
President
Phone
(605) 582-7333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 731 SD Primary

Addresses

Primary practice location

700 N Splitrock Blvd
Brandon, SD 57005-2000

Mailing address

700 N Splitrock Blvd
Brandon, SD 57005-2000
Phone (605) 582-7333

Other identifiers 2

IdentifierTypeStateIssuer
7603122MedicaidSD
0086586OtherSDBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080731000392 SD Part B Supplier - Clinic/Group Practice 0749352540 Receives reassigned benefits from 1 practitioner
Practice locations: Brandon, SD

National Provider Directory

National Provider Directory

Locations

700 N Splitrock Blvd
Brandon, SD 57005
Phone (605) 254-7735

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1750425583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N SPLITROCK BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570052000",
            "telephone_number": "605-582-7333",
            "fax_number": "605-582-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N SPLITROCK BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570052000",
            "telephone_number": "605-582-7333",
            "fax_number": "605-582-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOON CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "SCHOON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-582-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7603122",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0086586",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.