Douglas R. Schultz

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

CHIA-1634 Issued in ID

Legal business name

DOUGLAS R. SCHULTZ

Practice address

2285 E 25TH St
Idaho Falls, ID 83404-4724

Phone

(480) 340-3807

NPI assigned

Aug 20, 2015

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, D.C.

Title

Chiropractor

Phone

(480) 340-3807

Specialties & licenses 1

Addresses

Other identifiers 1

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
  • Rexburg, ID
  • NPI 1235670704
  NPD tax ID

Locations

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1326414673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044724",
            "telephone_number": "480-340-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044724",
            "telephone_number": "480-340-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS R. SCHULTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2016-03-24",
        "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": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "ID",
            "license": "CHIA-1634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164605507",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don H Heaton D C P a
• Megan Donnelly, RD
• Jadonna Dorsey, PHARMD
• Andria Lea Dotson, FNP
• Jared Dotson, MCOUN, LPC, NCC
• Matthew Aaron Douglass, PMHNP
• Paige Nicole Douty
• Tyler Calvin Downey, PHARMD
• Kirsten Blue Doxey, BS
• Ashley L Doyle

• Preferred Provider Organization in Idaho Falls, ID
• Providers in Idaho Falls, 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 24, 2016; 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.