Active NPI
Michael O Stultz, D.C.
- Chiropractor
- Prescott, AZ
National Provider Identifier
1053535963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7806
- Practice address
- 634 Schemmer Dr Ste 301
Prescott, AZ 86305-2368 - Phone
- (928) 778-6200
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7806 | AZ | Primary |
Addresses
Primary practice location
634 Schemmer Dr Ste 301
Prescott, AZ 86305-2368
Mailing address
634 Schemmer Dr Ste 301
Prescott, AZ 86305-2368
Phone (928) 778-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z123244 | Other | AZ | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080731000417 | AZ | Practitioner - Chiropractic | 1658304746 | Practice locations: Prescott, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
634 Schemmer Dr
Suite 301
Prescott, AZ 86305-2368
Phone (928) 778-6200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Fitness Center | Chiropractor | Past | Accepting new patients |
| Prescott Valley Disc and Spine Center | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Prescott, AZ
- NPI 1255421970
-
- Chiropractor
- Prescott Valley, AZ
- NPI 1366625980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1053535963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 SCHEMMER DR STE 301",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863052368",
"telephone_number": "928-778-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 SCHEMMER DR STE 301",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863052368",
"telephone_number": "928-778-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STULTZ",
"first_name": "MICHAEL",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7806",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "Z123244",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.