Individual provider Active NPI

John Derek Schofield, D.C.

  • Chiropractor
  • Cedar Falls, IA
National Provider Identifier
1770631491
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05816 Issued in IA
Practice address
1001 Hudson Road
Suite a
Cedar Falls, IA 50613-2304
Phone
(319) 277-5616
Fax
(319) 277-0355
NPI assigned
Jan 8, 2007
Last updated
May 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05816 IA Primary

Addresses

Primary practice location

1001 Hudson Road
Suite a
Cedar Falls, IA 50613-2304

Mailing address

1001 Hudson Road
Suite a
Cedar Falls, IA 50613-2304
Phone (319) 277-5616

Other identifiers 3

IdentifierTypeStateIssuer
16423OtherIAMIDLANDS CHOICE
17094OtherIABLUE CROSS BLUE SHIELD
1116269MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000963 IA Practitioner - Chiropractic 1153388913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schofield Chiropractic PCGroup PAC ID 9931152329, 5 clinicians

Practice addresses (Care Compare)

1001 Hudson Rd
Suite a
Cedar Falls, IA 50613-2304
Phone (319) 277-5616

1001 Hudson Rd a
Cedar Falls, IA 50613-2304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A05816IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Schofield Chiropractic PC Chiropractor CurrentSince Aug 1, 2002 Accepting new patients
Wolf Hearing Care PLC Past Accepting new patients
Hitchins Chiropractic PC PastSince Apr 1, 2021 Accepting new patients

Locations

1001 Hudson Rd
Ste A
Cedar Falls, IA 50613
Phone (319) 260-2155

1004 Main St
Cedar Falls, IA 50613
Phone (319) 277-1868

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1770631491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HUDSON ROAD",
            "address_2": "SUITE A",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132304",
            "telephone_number": "319-277-5616",
            "fax_number": "319-277-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HUDSON ROAD",
            "address_2": "SUITE A",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132304",
            "telephone_number": "319-277-5616",
            "fax_number": "319-277-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOFIELD",
        "first_name": "JOHN",
        "middle_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "16423",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17094",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1116269",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.