Individual provider Active NPI

Matthew Schoenecker, L.AC.

  • Acupuncturist
  • Savage, MN
National Provider Identifier
1770019689
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1844 Issued in MN
Practice address
4401 Egan Dr
Suite 100
Savage, MN 55378-2024
Phone
(952) 746-4162
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1844 MN Primary

Addresses

Primary practice location

4401 Egan Dr
Suite 100
Savage, MN 55378-2024

Mailing address

4401 Egan Dr
Suite 100
Savage, MN 55378-2024
Phone (952) 746-4162

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1844MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Finish Line Chiropractic P.a. PastSince Apr 1, 2008 Accepting new patients
Finish Line Wellness Acupuncturist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1770019689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 EGAN DR",
            "address_2": "SUITE 100",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782024",
            "telephone_number": "952-746-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 EGAN DR",
            "address_2": "SUITE 100",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782024",
            "telephone_number": "952-746-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENECKER",
        "first_name": "MATTHEW",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.