Douglas R. Schultz

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

CHIA-1634 Issued in ID

Legal business name

DOUGLAS R. SCHULTZ

Practice address

859 S Yellowstone Hwy Ste 301
Rexburg, ID 83440-5321

Phone

(480) 340-3807

Fax

(208) 356-6160

NPI assigned

Mar 16, 2017

Last updated

Mar 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Ryan Schultz, DC

Title

Chiropractor

Phone

(480) 340-3807

Specialties & licenses 1

Addresses

Tax ID family

Douglas R Schultz2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Douglas R. Schultz

  • Preferred Provider Organization
  • Idaho Falls, ID
  • NPI 1326414673
  NPD tax ID

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1235670704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 S YELLOWSTONE HWY STE 301",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405321",
            "telephone_number": "480-340-3807",
            "fax_number": "208-356-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 S YELLOWSTONE HWY STE 301",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405321",
            "telephone_number": "480-340-3807",
            "fax_number": "208-356-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS R. SCHULTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "480-340-3807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "ID",
            "license": "CHIA-1634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Brice Dimond, DPT
• Angelina Thao Nguyen DO
• Katie J Dodge
• Laura Dolezal, CCC/SLP
• Douglas J. Smith (Dental Health Center)
• Kerry Anne Draney, LCSW
• Jacob Dresen, LPC
• Kylee Duce
• Elizabeth Marlowe Dummar
• Matthew Dunham

• Preferred Provider Organization in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Preferred Provider Organization in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.