Organization Active NPI

Brett D Schoch D C P a

Doing business as Living Waters Wellness

  • Chiropractor
  • Fort Pierce, FL
National Provider Identifier
1811528979
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRETT D SCHOCH D C P A
Doing business as
Living Waters Wellness
Practice address
2502 Quincy Ave
Fort Pierce, FL 34947-4766
Phone
(772) 302-9580
NPI assigned
Jan 28, 2020
Last updated
Mar 10, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
LIVING WATERS WELLNESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Dr. Brett D Schoch, D C P ANPI 1174514376
Title
Owner
Phone
(772) 302-9580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2502 Quincy Ave
Fort Pierce, FL 34947-4766

Mailing address

2502 Quincy Ave
Fort Pierce, FL 34947-4766
Phone (772) 302-9580

Other names 1

  • Living Waters Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210310002409 FL Part B Supplier - Clinic/Group Practice 9739595075 Receives reassigned benefits from 4 practitioners
Practice locations: Fort Pierce, FL; Port Saint Lucie, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1811528979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 QUINCY AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474766",
            "telephone_number": "772-302-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 QUINCY AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474766",
            "telephone_number": "772-302-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT D SCHOCH D C P A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVING WATERS WELLNESS",
        "enumeration_date": "2020-01-28",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "SCHOCH",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-302-9580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D C P A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Waters Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Living Waters Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.