William David Schultz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M841 Issued in SD

Practice address

5121 S Solberg Ave
Suite 120
Sioux Falls, SD 57108-2220

Phone

(605) 339-2955

Fax

(605) 373-0235

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 21, 2014 through Apr 21, 2028

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Great Plains Dental

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1477748275
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1215073879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N COLUMBIA DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571036604",
            "telephone_number": "605-339-2955",
            "fax_number": "605-373-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 S SOLBERG AVE",
            "address_2": "SUITE 120",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082220",
            "telephone_number": "605-339-2955",
            "fax_number": "605-373-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy James Schultz, D.C.
• Natali Jo Schultz
• Patricia J Schultz, LPC-MH
• Sarah Marie Schultz
• Thomas A Schultz, M.D.
• Amy Michelle Schulz, RN
• Bruce Henry Schulz, MD
• Marlene K Schulz, MSW
• Ashtyn Lilly Schumacher
• Bette Kathleen Schumacher, RN, MS, CNS

• General Practice Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.