Individual provider Active NPI

Mark D Schueler, DC

  • Chiropractor
  • Roanoke, VA
National Provider Identifier
1902830078
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001840 Issued in VA
Practice address
291 Arrington LN
Roanoke Valley Chiropractic & Clinical Nutrition Center
Roanoke, VA 24019-8274
Phone
(540) 977-5400
Fax
(540) 992-3856
NPI assigned
Jul 11, 2006
Last updated
Jun 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001840 VA Primary

Addresses

Primary practice location

291 Arrington LN
Roanoke Valley Chiropractic & Clinical Nutrition Center
Roanoke, VA 24019-8274

Mailing address

PO Box 4127
Roanoke Valley Chiropractic & Clinical Nutrition Center
Roanoke, VA 24015-0127
Phone (540) 981-9394

Other identifiers 2

IdentifierTypeStateIssuer
244703OtherANTHEM
350051987OtherMEDICARE RR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041120000086 VA Practitioner - Chiropractic 9638134505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3247 Electric Rd
Roanoke, VA 24018-6448
Phone (540) 977-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Valley Chiropractic & Clinical Nutrition Center PC Chiropractor CurrentSince Jul 7, 1999 Accepting new patients

Locations

126 Blue Ridge Blvd
Roanoke, VA 24012
Phone (540) 977-5400

291 Arrington Ln
Roanoke, VA 24019
Phone (540) 977-5400

3247 Electric Rd
Roanoke, VA 24018
Phone (540) 977-5400

3247 Electric Rd
Ste 1
Roanoke, VA 24018

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1902830078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4127",
            "address_2": "ROANOKE VALLEY CHIROPRACTIC & CLINICAL NUTRITION CENTER",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240150127",
            "telephone_number": "540-981-9394",
            "fax_number": "540-344-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 ARRINGTON LN",
            "address_2": "ROANOKE VALLEY CHIROPRACTIC & CLINICAL NUTRITION CENTER",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240198274",
            "telephone_number": "540-977-5400",
            "fax_number": "540-992-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUELER",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "244703",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "350051987",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.