100 Chiro Schaefer PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

100 CHIRO SCHAEFER PLLC

Practice address

6844 22ND Ave N
Saint Petersburg, FL 33710-3918

Phone

(404) 960-4504

NPI assigned

Dec 4, 2023

Last updated

Dec 4, 2023By 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

Dr. Robert Schaefer, DCNPI 1487420139

Title

Owner

Phone

(404) 960-4504

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Robert Schaefer, DC

  • Chiropractor
  • St Petersburg, FL
  • NPI 1487420139
  Medicare reassignment NPD Authorized official
• Alivia Elizabeth Schaefer, DC

  • Chiropractor
  • St Petersburg, FL
  • NPI 1437032166
  NPD

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1811764541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6844 22ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337103918",
            "telephone_number": "404-960-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6844 22ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337103918",
            "telephone_number": "404-960-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIRO SCHAEFER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-03",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-960-4504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.