Active NPI
Richard Shulze, D.M.D
- General Practice Dentistry
- Riverton, UT
National Provider Identifier
1487792107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9053
- Practice address
- 12172 S Laurel Chase Dr
Riverton, UT 84065-4397 - Phone
- (720) 442-3060
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9053 | CO | Primary |
Addresses
Primary practice location
12172 S Laurel Chase Dr
Riverton, UT 84065-4397
Mailing address
12172 S Laurel Chase Dr
Riverton, UT 84065-4397
Phone (720) 442-3060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9053 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1487792107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12172 S LAUREL CHASE DR",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840654397",
"telephone_number": "720-442-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12172 S LAUREL CHASE DR",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840654397",
"telephone_number": "720-442-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULZE",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "9053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.