Mark J Schulte, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4812 Issued in KY

Practice address

4515 Churchman Ave
Louisville, KY 40215-1109

Phone

(502) 361-0637

Fax

(502) 361-0636

NPI assigned

Feb 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1316910201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 CHURCHMAN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151109",
            "telephone_number": "502-361-0637",
            "fax_number": "502-361-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 CHURCHMAN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151109",
            "telephone_number": "502-361-0637",
            "fax_number": "502-361-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTE",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60048121",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Marie Schuler, P.A.
• Emily Blair Schulman-Geltzer
• Brian Lee Schulman, MD
• David Schulte, D.M.D.
• Jennifer Schulte, LBA
• Schulten Pediatric Dentistry - Fern Creek LLC
• Christopher Dean Schulten
• Jenna R Schulten, DMD
• Thad R Schulten, DMD
• Alyssa B Schultz, COTA

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.