Individual provider Active NPI

James Matthew Shultz, D.C.

  • Chiropractor
  • Guthrie Center, IA
National Provider Identifier
1023043833
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06341 Issued in IA
Practice address
102 S 4TH St
Guthrie Center, IA 50115-1640
Phone
(641) 332-2808
NPI assigned
Jul 11, 2006
Last updated
Jan 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06341 IA Primary

Addresses

Primary practice location

102 S 4TH St
Guthrie Center, IA 50115-1640

Mailing address

102 S 4TH St
Guthrie Center, IA 50115-1640
Phone (641) 332-2808

Other identifiers 2

IdentifierTypeStateIssuer
0281089MedicaidIA
33526OtherIAWELLMARK BLUE CROSS/BLUE

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
06341IAMDChiropractor

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": "1199836800000",
    "number": "1023043833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S 4TH ST",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501151640",
            "telephone_number": "641-332-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S 4TH ST",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501151640",
            "telephone_number": "641-332-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0281089",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS/BLUE",
            "identifier": "33526",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie Center, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.