Individual provider Active NPI

Dominic David Schultz, DC

  • Chiropractor
  • Fort Wayne, IN
National Provider Identifier
1316582885
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003128A Issued in IN
Practice address
10910 US Highway 24 W
Fort Wayne, IN 46814-8157
Phone
(260) 600-7502
NPI assigned
Nov 8, 2019
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003128A IN Primary

Addresses

Primary practice location

10910 US Highway 24 W
Fort Wayne, IN 46814-8157

Mailing address

10910 US Highway 24 W
Fort Wayne, IN 46814-8157
Phone (260) 600-7502

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charge Health & Chiropractic Chiropractor CurrentSince Apr 16, 2023 Accepting new patients
Indianapolis Physical Therapy and Sports Medicin PastSince Nov 1, 2019 Accepting new patients

Locations

10910 US Highway 24 W
Fort Wayne, IN 46814
Phone (260) 600-7502

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, 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": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1316582885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 US HIGHWAY 24 W",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148157",
            "telephone_number": "260-600-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 US HIGHWAY 24 W",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148157",
            "telephone_number": "260-600-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "DOMINIC",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-08",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003128A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.