Individual provider Active NPI

James Michael Schroeder, PC

  • Chiropractor
  • Le Mars, IA
National Provider Identifier
1881675171
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04978 Issued in IA
Practice address
226B Central Ave NE
Le Mars, IA 51031-3231
Phone
(712) 548-4000
Fax
(712) 548-4000
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04978 IA Primary

Addresses

Primary practice location

226B Central Ave NE
Le Mars, IA 51031-3231

Mailing address

226B Central Ave NE
Le Mars, IA 51031-3231
Phone (712) 548-4000

Other identifiers 2

IdentifierTypeStateIssuer
1218255MedicaidIA
21111OtherWELLMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1881675171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226B CENTRAL AVE NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313231",
            "telephone_number": "712-548-4000",
            "fax_number": "712-548-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226B CENTRAL AVE NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313231",
            "telephone_number": "712-548-4000",
            "fax_number": "712-548-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1218255",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "21111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Mars, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.