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DR. GRANT TYLER SCHOENENBERGER DC
NPI 1407636608
Chiropractor in Janesville, WI

Active since October 04, 2023
1215 BLACK BRIDGE RD STE 110, JANESVILLE, WI 53545(608) 754-4216(608) 754-2742 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2023, Oct 10, 2023, Oct 4, 2023 (3 updates tracked since 2023).

About Dr. Grant Tyler Schoenenberger Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRANT TYLER SCHOENENBERGER DC (NPI 1407636608) is an individual chiropractor in Janesville, Wisconsin, licensed in Wisconsin (6031-12) and active in the NPI registry since October 2023. He is a graduate of Palmer College Chiropractic - Davenport (2022).

NPPES Registry Identity

NPI1407636608
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GRANT TYLER SCHOENENBERGERCredential: DC
Location Address1215 BLACK BRIDGE RD STE 110Janesville, WI 53545-0899
Mailing Address1215 Black Bridge RdJanesville, WI 53545-0891 · (608) 754-4216 · Fax (608) 754-2742
Phone(608) 754-4216
Fax(608) 754-2742
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2022
Enumeration DateOctober 4, 2023
Last NPPES UpdateOctober 10, 20233 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1407636608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 6031-12
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1215 BLACK BRIDGE RD STE 110, Janesville, WI 53545
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Grant Tyler Schoenenberger Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082173125
PECOS Enrollment IDI20260828000782

Medicare Billing Reassignment

Medicare enrollment records show Grant Schoenenberger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Chiropractic Clinic
Same address
Rehabilitation
1215 BLACK BRIDGE RD
Janesville, WI 53545
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
NPI 1497937122 (608) 754-4216

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grant Schoenenberger's NPI number?

The NPI number for Grant Schoenenberger is 1407636608. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Where is Grant Schoenenberger located?

Grant Schoenenberger practices at 1215 Black Bridge Rd Ste 110, Janesville, WI 53545. The listed phone number is (608) 754-4216.

What is Grant Schoenenberger's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Grant Schoenenberger enrolled in Medicare?

Yes. Grant Schoenenberger is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Grant Schoenenberger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grant Schoenenberger reassigns Medicare benefits to Family Chiropractic Clinic (Janesville, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grant Schoenenberger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Grant Schoenenberger was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.