Individual provider Active NPI

John W Schroeppel, DC

  • Chiropractor
  • Arcadia, CA
National Provider Identifier
1760908685
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33988 Issued in CA
Practice address
638 W Duarte Rd Ste 16
Arcadia, CA 91007-7672
Phone
(626) 340-3742
NPI assigned
Aug 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33988 CA Primary
Chiropractor 111N00000X 10436204-1202 UT

Addresses

Primary practice location

638 W Duarte Rd Ste 16
Arcadia, CA 91007-7672

Mailing address

308 Campus Dr
Arcadia, CA 91007-6917
Phone (801) 592-3462

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191209002046 UT Practitioner - Chiropractic 1658647441 Practice locations: Lindon, UT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

179 N 290
Lindon, UT 84042-5001
Phone (385) 429-0920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33988CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1760908685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CAMPUS DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076917",
            "telephone_number": "801-592-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 W DUARTE RD STE 16",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077672",
            "telephone_number": "626-340-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEPPEL",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33988",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "10436204-1202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.