Active NPI
Charles Joseph Schultz
- Orthotist
- Minneapolis, MN
National Provider Identifier
1700025301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- T-544
- Practice address
- 1 Veterans Dr # 121
VA Medical Center
Minneapolis, MN 55417-2309 - Phone
- (612) 467-4836
- Fax
- (612) 727-5952
- NPI assigned
- Feb 5, 2009
- Last updated
- Feb 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | T-544 | MN | Primary |
Addresses
Primary practice location
1 Veterans Dr # 121
VA Medical Center
Minneapolis, MN 55417-2309
Mailing address
One Veterans Dr.
Vamedical Center (121)
Minneapolis, MN 55417
Phone (612) 467-4836
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 |
|---|---|---|---|
| T-544 | MN | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233792000000",
"number": "1700025301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE VETERANS DR.",
"address_2": "VAMEDICAL CENTER (121)",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55417",
"telephone_number": "612-467-4836",
"fax_number": "612-727-5952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VETERANS DR # 121",
"address_2": "VA MEDICAL CENTER",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554172309",
"telephone_number": "612-467-4836",
"fax_number": "612-727-5952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-05",
"last_updated": "2009-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "MN",
"license": "T-544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.