Individual provider Active NPI

John Edwin Shulze, BSEE MBA

  • Biomedical Engineer
  • Las Vegas, NV
National Provider Identifier
1265025068
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Biomedical EngineerTaxonomy code 246ZB0301X
Practice address
322 Karen Ave Unit 2005
Las Vegas, NV 89109-0433
Phone
(949) 923-0832
NPI assigned
Feb 12, 2021
Last updated
Feb 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Biomedical Engineer 246ZB0301X NU Primary

Addresses

Primary practice location

322 Karen Ave Unit 2005
Las Vegas, NV 89109-0433

Mailing address

3172 N Rainbow Blvd Unit 81053
Las Vegas, NV 89108-4534
Phone (949) 923-0832

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.medaliance.com

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
Credentials
Master of Business Administration

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1265025068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3172 N RAINBOW BLVD UNIT 81053",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084534",
            "telephone_number": "949-923-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 KAREN AVE UNIT 2005",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891090433",
            "telephone_number": "949-923-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULZE",
        "first_name": "JOHN",
        "middle_name": "EDWIN",
        "credential": "BSEE MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZB0301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Biomedical Engineering",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.medaliance.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "322 Karen Ave Unit 2005",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891090433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.