Individual provider Active NPI

Joseph Michael Schneider, D.C.

  • Chiropractor
  • Holton, KS
National Provider Identifier
1912016122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
C3726 Issued in KS
Practice address
125 W 4TH St
Holton, KS 66436-1701
Phone
(785) 364-3101
Fax
(785) 364-4467
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 C3726 KS Primary

Addresses

Primary practice location

125 W 4TH St
Holton, KS 66436-1701

Mailing address

828 Pennsylvania Ave
Holton, KS 66436-1854
Phone (785) 364-2208

Other identifiers 1

IdentifierTypeStateIssuer
007281OtherKSBL;UE CROSS BLUE SHIELD

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

State licenses

LicenseStateTypeSpecialty
C3726KSMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912016122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 PENNSYLVANIA AVE",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361854",
            "telephone_number": "785-364-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W 4TH ST",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361701",
            "telephone_number": "785-364-3101",
            "fax_number": "785-364-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "C3726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BL;UE CROSS BLUE SHIELD",
            "identifier": "007281",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.