Individual provider Active NPI

Michael Frank Schultz, DC

  • Chiropractor
  • Camas, WA
National Provider Identifier
1285925172
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 60209291 Issued in WA
Practice address
830 NW 30TH Ave
Camas, WA 98607-8693
Phone
(509) 939-0911
NPI assigned
Apr 26, 2011
Last updated
Apr 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 60209291 WA Primary

Addresses

Primary practice location

830 NW 30TH Ave
Camas, WA 98607-8693

Mailing address

830 NW 30TH Ave
Camas, WA 98607-8693

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120928000242 WA Practitioner - Chiropractic 4385893783 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Webber Chiropractic Sports Clinic IncGroup PAC ID 8729133889, 2 clinicians
Bellevue Medical CenterGroup PAC ID 8123317898, 2 clinicians

Practice addresses (Care Compare)

10517 NE 38TH PL
BLDG 11
Kirkland, WA 98033-7926
Phone (425) 889-2882

10655 NE 4TH St
Suite 101
Bellevue, WA 98004-5022
Phone (206) 330-7065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 60209291WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic View Chiropractic, PS Chiropractor CurrentSince Jul 1, 2020 Accepting new patients
Webber Chiropractic Sports Clinic, Inc Chiropractor CurrentSince Jun 1, 2024 Accepting new patients
Living Well Pain Center LLC Chiropractor Past Accepting new patients
On-Site Massage, Inc. Past Accepting new patients
Healthsource of Kirkland Chiropractor Past Accepting new patients
William J. Weber D.C. PLLC Chiropractor Past Accepting new patients

Locations

626 128th St SW
Ste 103B
Everett, WA 98204
Phone (425) 513-1880

10517 NE 38th Pl
Bldg 11
Kirkland, WA 98033
Phone (425) 455-2225

10517 NE 38th Pl
Unit 11
Kirkland, WA 98033

Organizations & group practices 7

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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1285925172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 NW 30TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 NW 30TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078693",
            "telephone_number": "509-939-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "MICHAEL",
        "middle_name": "FRANK",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60209291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.