Individual provider Active NPI

Joanne Catherine Schultz, DDS

  • General Practice Dentistry
  • Wellesley, MA
National Provider Identifier
1417008525
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16386 Issued in MA
Practice address
85 Donizetti St
Wellesley, MA 02482-4840
Phone
(781) 416-9955
Fax
(781) 416-9955
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3408 NH
General Practice Dentistry 1223G0001X 4629 OK
General Practice Dentistry 1223G0001X 10731 MI
General Practice Dentistry 1223G0001X 16386 MA Primary

Addresses

Primary practice location

85 Donizetti St
Wellesley, MA 02482-4840

Mailing address

85 Donizetti St
Wellesley, MA 02482-4840
Phone (781) 416-9955

Other identifiers 2

IdentifierTypeStateIssuer
0269603MedicaidMA
30302783MedicaidNH

Other names 1

  • Dr. Joanne Catherine Zauel Schultz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141104000214 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4284856410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
16386MAMDGeneral Practice Dentistry
10731MIMDGeneral Practice Dentistry
4629OKMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1417008525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 DONIZETTI ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024824840",
            "telephone_number": "781-416-9955",
            "fax_number": "781-416-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 DONIZETTI ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024824840",
            "telephone_number": "781-416-9955",
            "fax_number": "781-416-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JOANNE",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3408",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4629",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "10731",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0269603",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30302783",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "SCHULTZ",
            "middle_name": "CATHERINE ZAUEL",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.