Individual provider Active NPI

Milton Joseph Schoeberl, DC

  • Chiropractor
  • Caledonia, MN
National Provider Identifier
1760501191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1113 Issued in MN
Practice address
114 N Sunset Blvd
Caledonia, MN 55921
Phone
(507) 725-3191
Fax
(507) 725-3197
NPI assigned
Mar 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 1113 MN Primary

Addresses

Primary practice location

114 N Sunset Blvd
Caledonia, MN 55921

Mailing address

PO Box 162
114 N Sunset Blvd
Caledonia, MN 55921
Phone (507) 725-3191

Other identifiers 2

IdentifierTypeStateIssuer
230762OtherCCMI
249745COtherBCBS

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
1113MNMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760501191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162",
            "address_2": "114 N SUNSET BLVD",
            "city": "CALEDONIA",
            "state": "MN",
            "postal_code": "55921",
            "telephone_number": "507-725-3191",
            "fax_number": "507-725-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N SUNSET BLVD",
            "city": "CALEDONIA",
            "state": "MN",
            "postal_code": "55921",
            "telephone_number": "507-725-3191",
            "fax_number": "507-725-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEBERL",
        "first_name": "MILTON",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCMI",
            "identifier": "230762",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "249745C",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MN

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.