Individual provider Active NPI

Michael Joseph Schindelholz, D.C.

  • Chiropractor
  • Plymouth, MN
National Provider Identifier
1942658612
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6233 Issued in MN
Practice address
3900 Vinewood LN N Ste 19
Plymouth, MN 55441-1155
Phone
(763) 559-9236
NPI assigned
Jun 2, 2016
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6233 MN Primary

Addresses

Primary practice location

3900 Vinewood LN N Ste 19
Plymouth, MN 55441-1155

Mailing address

3900 Vinewood LN N Ste 19
Plymouth, MN 55441-1155
Phone (763) 559-9236

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815002827 MN Practitioner - Chiropractic 0446542930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3900 Vinewood LN N
Suite 19
Plymouth, MN 55441-1155
Phone (763) 559-9236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6233MNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Chirocenter LLC Chiropractor CurrentSince Oct 10, 2020 Accepting new patients
Robbinsdale Chiropractic Chiropractor PastSince Dec 6, 2018 Accepting new patients

Locations

3900 Vinewood Ln N
Ste 19
Plymouth, MN 55441
Phone (763) 559-9236

Interoperability endpoints

  • Direct secure messaging: michael.schindelholz.1@29676.direct.athenahealth.com

Organizations & group practices 2

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1942658612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 VINEWOOD LN N STE 19",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411155",
            "telephone_number": "763-559-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 VINEWOOD LN N STE 19",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411155",
            "telephone_number": "763-559-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHINDELHOLZ",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.