Individual provider Active NPI

Jonathan Edward Shultz, D.C.

  • Chiropractor
  • Dripping Springs, TX
National Provider Identifier
1194198424
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13066 Issued in TX
Practice address
800 W Highway 290
Building F
Dripping Springs, TX 78620-4191
Phone
(512) 858-9355
NPI assigned
Nov 9, 2015
Last updated
Jan 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13066 TX Primary

Addresses

Primary practice location

800 W Highway 290
Building F
Dripping Springs, TX 78620-4191

Mailing address

1221 W Ben White Blvd
Ste 111a
Austin, TX 78704-7192
Phone (737) 222-6014

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160210000372 TX Practitioner - Chiropractic 7719281864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Innate Solutions PCGroup PAC ID 8921254624, 7 clinicians

Practice addresses (Care Compare)

2700 W Anderson Lane
Suite 509
Austin, TX 78757
Phone (512) 452-7681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13066TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Innate Solutions PC Chiropractor CurrentSince Sep 9, 2022 Accepting new patients
Curis Functional Health Chiropractor PastSince May 23, 2021 Accepting new patients
Adjustfirst PA Chiropractor PastSince Oct 17, 2005 Accepting new patients

Locations

2700 W Anderson Ln
Ste 509
Austin, TX 78757
Phone (512) 452-7681

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1194198424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD",
            "address_2": "STE 111A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047192",
            "telephone_number": "737-222-6014",
            "fax_number": "737-222-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W HIGHWAY 290",
            "address_2": "BUILDING F",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786204191",
            "telephone_number": "512-858-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "JONATHAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dripping Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.