Schultz Ellis Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1217 Issued in NC

Legal business name

SCHULTZ ELLIS CHIROPRACTIC CENTER

Practice address

196 N Pine Street
Suite B
Elizabethtown, NC 28337-9245

Phone

(910) 862-8544

Fax

(910) 862-3569

NPI assigned

Nov 30, 2006

Last updated

May 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Danny L Ellis II, DCNPI 1588731079

Title

Owner/Chiropractor

Phone

(910) 862-8544

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danny L Ellis Jr., D.C.

  • Chiropractor
  • Elizabethtown, NC
  • NPI 1588731079
  Medicare reassignment NPD Authorized official
• Harvey C Schultz Jr., D.C.

  • Chiropractor
  • Elizabethtown, NC
  • NPI 1184792210
  NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1346318458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2485",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283372485",
            "telephone_number": "910-862-8544",
            "fax_number": "910-862-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 N PINE STREET",
            "address_2": "SUITE B",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283379245",
            "telephone_number": "910-862-8544",
            "fax_number": "910-862-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHULTZ ELLIS CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "910-862-8544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790842A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908771",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rochelle Marcella Rose, MSW, PLCSW
• Natasha Scarlett Russ-Long, MSW LCSW
• Elizabeth Sagan
• Samuel Ray Cross DDS PA
• Eric E Schmidt, O.D.
• Harvey C Schultz Jr., D.C.
• Shelby Stephenson MD
• James Smith, PT
• Joshua Smith, OTR/L
• Southeastern Health Physician Services (Southeastern Medical Clinic White Lake)

• Chiropractor in Elizabethtown, NC
• Providers in Elizabethtown, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.