Organization Active NPI

John F. Schultz D.C. P.C.

  • Exclusive Provider Organization
  • Longmont, CO
National Provider Identifier
1497942122
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
3622 Issued in CO
Legal business name
JOHN F. SCHULTZ D.C. P.C.
Practice address
1551 Professional LN Unit 180
Longmont, CO 80501-6970
Phone
(720) 494-4790
Fax
(720) 494-4791
NPI assigned
Sep 26, 2007
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. John Schultz, DC, FIAMANPI 1528157716
Title
Owner
Phone
(720) 494-4790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 3622 CO Primary

Addresses

Primary practice location

1551 Professional LN Unit 180
Longmont, CO 80501-6970

Mailing address

1551 Professional LN Unit 180
Longmont, CO 80501-6970
Phone (720) 494-4790

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040507000852 CO Part B Supplier - Clinic/Group Practice 8628067451 Receives reassigned benefits from 1 practitioner
Practice locations: Longmont, CO

National Provider Directory

National Provider Directory

Locations

1715 Iron Horse Dr
Ste 122
Longmont, CO 80501
Phone (303) 834-8235

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1497942122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN UNIT 180",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016970",
            "telephone_number": "720-494-4790",
            "fax_number": "720-494-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN UNIT 180",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016970",
            "telephone_number": "720-494-4790",
            "fax_number": "720-494-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. SCHULTZ D.C. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-494-4790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, FIAMA"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CO",
            "license": "3622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.