Individual provider Active NPI

Harry Martin Schultze Jr., D.C.

  • Chiropractor
  • Round Rock, TX
National Provider Identifier
1417046467
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9777 Issued in TX
Practice address
2400 S Interstate 35
Ste 170
Round Rock, TX 78681-7912
Phone
(512) 252-3030
Fax
(512) 252-3673
NPI assigned
Oct 11, 2006
Last updated
Apr 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9777 TX Primary

Addresses

Primary practice location

2400 S Interstate 35
Ste 170
Round Rock, TX 78681-7912

Mailing address

2400 S Interstate 35
Ste 170
Round Rock, TX 78681-7912
Phone (512) 252-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041229000488 TX Practitioner - Chiropractic 6507824182 Practice locations: Round Rock, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2400 S Interstate 35
Suite 170
Round Rock, TX 78681-8014
Phone (512) 252-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9777TXMDCritical Care Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1417046467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S INTERSTATE 35",
            "address_2": "STE 170",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786817912",
            "telephone_number": "512-252-3030",
            "fax_number": "512-252-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S INTERSTATE 35",
            "address_2": "STE 170",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786817912",
            "telephone_number": "512-252-3030",
            "fax_number": "512-252-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZE",
        "first_name": "HARRY",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.