Active NPI
William Frederick Schultz Jr., DDS
- Oral and Maxillofacial Surgery (Dentist)
- Columbus, IN
National Provider Identifier
1104982065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 12005942
- Practice address
- 2350 N Park Dr
Columbus, IN 47203-4466 - Phone
- (812) 372-7312
- Fax
- (812) 378-9451
- NPI assigned
- Dec 28, 2006
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 12005942 | IN | Primary |
Addresses
Primary practice location
2350 N Park Dr
Columbus, IN 47203-4466
Mailing address
2350 N Park Dr
Columbus, IN 47203-4466
Phone (812) 372-7312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000199670 | Other | IN | BCBS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12005942 | IN | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Oral & Maxillofacial Surgery PSC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Columbus, IN
- NPI 1629134515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1104982065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 N PARK DR",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472034466",
"telephone_number": "812-372-7312",
"fax_number": "812-378-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 N PARK DR",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472034466",
"telephone_number": "812-372-7312",
"fax_number": "812-378-9451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "WILLIAM",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IN",
"license": "12005942",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000199670",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.