Organization Active NPI

Robert Schellenberg D.C., P.a.

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1760713002
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8437 Issued in FL
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

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Robert L Schellenberg, D.C.NPI 1770548943
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
381694000MedicaidFL
70098OtherFLBCBS
CZ159OtherFLMEDICARE ID
70098OtherFLMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100120000636 FL Part B Supplier - Clinic/Group Practice 7618019233 Receives reassigned benefits from 1 practitioner
Practice locations: Stuart, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.