Organization Active NPI

Schulz Chiropractic Health & Wellness Clinic PC

  • Chiropractor
  • Muskogee, OK
National Provider Identifier
1104027010
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3820 Issued in OK
Legal business name
SCHULZ CHIROPRACTIC HEALTH & WELLNESS CLINIC PC
Practice address
2410 E Shawnee Rd
Suite C
Muskogee, OK 74403-1508
Phone
(918) 686-7222
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Dr. Lacey Michelle Schulz, D.C.NPI 1780719625
Title
Owner
Phone
(918) 686-7222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3820 OK Primary

Addresses

Primary practice location

2410 E Shawnee Rd
Suite C
Muskogee, OK 74403-1508

Mailing address

PO Box 1105
Fort Gibson, OK 74434-1105
Phone (918) 686-7222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070730000238 OK Part B Supplier - Clinic/Group Practice 6608977061 Receives reassigned benefits from 1 practitioner
Practice locations: Muskogee, OK

National Provider Directory

National Provider Directory

Locations

2410 E Shawnee Rd
Ste C
Muskogee, OK 74403
Phone (918) 441-5407

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1104027010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1105",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "744341105",
            "telephone_number": "918-686-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 E SHAWNEE RD",
            "address_2": "SUITE C",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031508",
            "telephone_number": "918-686-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHULZ CHIROPRACTIC HEALTH & WELLNESS CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "LACEY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-686-7222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.