Ryan J Schroeder, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

859 Issued in ND

Practice address

3212 14TH Ave S Ste 2
Fargo, ND 58103-6306

Phone

(701) 232-2662

Fax

(701) 232-9588

NPI assigned

Jun 15, 2009

Last updated

Jul 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Full Life Chiropractic PLLC

  • Primary Care Clinic/Center
  • Fargo, ND
  • NPI 1932426509
  Medicare reassignment NPD Authorized official
• United Health Chiropractic and Wellness

  • Chiropractor
  • Fargo, ND
  • NPI 1972720332
  NPD (past)

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1790912954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 50TH AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788246",
            "telephone_number": "701-232-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 14TH AVE S STE 2",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036306",
            "telephone_number": "701-232-2662",
            "fax_number": "701-232-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "RYAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5109",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15204",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Schreier, DO
• Amanda Schrenk
• Anastasia Mae Hartwig Schroeder, MD
• Jimena Del Carpio Schroeder, M.ED., PHD
• Kurtiss Dean Schroeder
• Stacy Noelle Schroeder, LPN
• Richard M Schue, NP
• Tamra A Schue
• Lindsay Schuh
• Naomi Schuldt, DNP, APRN, FNP-C

• Chiropractor in Fargo, ND
• Providers in Fargo, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.