Active NPI
Douglas Schultz, DMD
- Dentist
- Allendale, MI
National Provider Identifier
1689402323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901602278
- Practice address
- 5916 Lake Michigan Dr
Allendale, MI 49401-8111 - Phone
- (616) 259-6046
- NPI assigned
- Jul 24, 2024
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2901602278 | MI | Primary |
Addresses
Primary practice location
5916 Lake Michigan Dr
Allendale, MI 49401-8111
Mailing address
4258 Golden Alexander St SW Unit 19101
Wyoming, MI 49418-8420
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 |
|---|---|---|---|
| 2901602278 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1689402323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4258 GOLDEN ALEXANDER ST SW UNIT 19101",
"city": "WYOMING",
"state": "MI",
"postal_code": "494188420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5916 LAKE MICHIGAN DR",
"city": "ALLENDALE",
"state": "MI",
"postal_code": "494018111",
"telephone_number": "616-259-6046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901602278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allendale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.