Active NPI
Robert Schellenberg D.C., P.a.
- Chiropractor
- Stuart, FL
National Provider Identifier
1760713002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8437
- Legal business name
- ROBERT SCHELLENBERG D.C., P.A.
- Practice address
- 1200 S Kanner Hwy
Stuart, FL 34994-3708 - Phone
- (772) 288-2008
- Fax
- (772) 288-3256
- NPI assigned
- Jan 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert L Schellenberg, D.C.
- Title
- Chiropractic Physician
- Phone
- (772) 288-2008
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8437 | FL | Primary |
Addresses
Primary practice location
1200 S Kanner Hwy
Stuart, FL 34994-3708
Mailing address
1200 S Kanner Hwy
Stuart, FL 34994-3708
Phone (772) 288-2008
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381694000 | Medicaid | FL | |
| 70098 | Other | FL | BCBS |
| CZ159 | Other | FL | MEDICARE ID |
| 70098 | Other | FL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1200 S Kanner Hwy
Stuart, FL 34994
Phone (772) 288-2008
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Stuart, FL
- NPI 1770548943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346112000000",
"number": "1760713002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349943708",
"telephone_number": "772-288-2008",
"fax_number": "772-288-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349943708",
"telephone_number": "772-288-2008",
"fax_number": "772-288-3256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT SCHELLENBERG D.C., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-27",
"last_updated": "2012-08-28",
"status": "A",
"authorized_official_last_name": "SCHELLENBERG",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
"authorized_official_telephone_number": "772-288-2008",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381694000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "70098",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "CZ159",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "70098",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.