Individual provider Active NPI

Cory Schultz, L.AC

  • Acupuncturist
  • Reedsburg, WI
National Provider Identifier
1235637752
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
965-55 Issued in WI
Practice address
1104 21St Street
Reedsburg, WI 53959
Phone
(608) 358-7420
NPI assigned
Jan 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 965-55 WI Primary

Addresses

Primary practice location

1104 21St Street
Reedsburg, WI 53959

Mailing address

S4869B Dunse Rd
Reedsburg, WI 53959-9548
Phone (608) 358-7420

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

LicenseStateTypeSpecialty
965-55WIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Schultz Acupuncture & Therapeutics, LLC Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

802 Lois Dr
Sun Prairie, WI 53590
Phone (608) 358-7420

Interoperability endpoints

  • Direct secure messaging: cschultz691742@direct.unitypoint.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1235637752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S4869B DUNSE RD",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539599548",
            "telephone_number": "608-358-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 21ST STREET",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "53959",
            "telephone_number": "608-358-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "CORY",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "965-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.