Jesse Porter Shultz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002739B Issued in IN

Practice address

12106 E State Road 114
Akron, IN 46910-9416

Phone

(574) 893-4131

NPI assigned

Oct 24, 2013

Last updated

Oct 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Akron Family Chiropractic, LLC

  • Chiropractor
  • Akron, IN
  • NPI 1720417751
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1194153437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12106 E STATE ROAD 114",
            "address_2": "PO BOX 206",
            "city": "AKRON",
            "state": "IN",
            "postal_code": "469109416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12106 E STATE ROAD 114",
            "city": "AKRON",
            "state": "IN",
            "postal_code": "469109416",
            "telephone_number": "574-893-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "JESSE",
        "middle_name": "PORTER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002739B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen A Neeley, NP
• Francisco Negreros-Castillo, MD
• Patricia Diane Nicholson, FNP
• Michael E Person, MD
• Elizabeth Rodriguez, FNP-BC
• Renee Kathleen Shultz, D.C.
• Tippecanoe Valley School Corporation
• Warsaw Health System, LLC (Akron Family Medicine)
• Webb's Family Pharmacy LLC
• Woodlawn Hospital (Akron Medical Center)

• Chiropractor in Akron, IN
• Providers in Akron, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.