Scheideman Chiropractic and Body Shop

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

4037 Issued in MN

Legal business name

SCHEIDEMAN CHIROPRACTIC AND BODY SHOP

Practice address

14030 Bank St.
Suite 1
Becker, MN 55362

Phone

(763) 262-2639

Fax

(763) 262-2640

NPI assigned

Jan 25, 2007

Last updated

Dec 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brent Scheideman, DCNPI 1013965664

Title

Chiropractor

Phone

(763) 262-2639

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent Scheideman, D.C.

  • Sports Physician Chiropractor
  • Becker, MN
  • NPI 1013965664
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1811042146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "BECKER",
            "state": "MN",
            "postal_code": "553080265",
            "telephone_number": "763-262-2639",
            "fax_number": "763-262-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14030 BANK ST.",
            "address_2": "SUITE 1",
            "city": "BECKER",
            "state": "MN",
            "postal_code": "55362",
            "telephone_number": "763-262-2639",
            "fax_number": "763-262-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHEIDEMAN CHIROPRACTIC AND BODY SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "SCHEIDEMAN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "763-262-2639",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "4037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "449M2SC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quick Results, LLC
• Natalie A Rehm, D.O.
• Allison Erica Reid, MA, BCBA
• Rejuvenate PSC
• Rock Creek Builders Inc
• Brent Scheideman, D.C.
• Catarina Schroeder
• Shepherd of Grace, LLC
• Snoring and Sleep Apnea Center PA
• Paul A Spinner, MD

• Sports Physician Chiropractor in Becker, MN
• Providers in Becker, MN by specialty
• Sports Physician Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.