NPIMap

Organization Active NPI

Dennis W. Shults, DO Inc

  • Family Medicine Physician
  • Brea, CA
National Provider Identifier
1700132479
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DENNIS W. SHULTS, DO INC
Practice address
710 N Brea Blvd
Suite G
Brea, CA 92821-3336
Phone
(714) 671-1150
Fax
(714) 671-0833
NPI assigned
Jul 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Dennis Shults, DONPI 1043370026
Title
President
Phone
(714) 671-1150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X CA Primary

Addresses

Primary practice location

710 N Brea Blvd
Suite G
Brea, CA 92821-3336

Mailing address

710 N Brea Blvd
Suite G
Brea, CA 92821-3336
Phone (714) 671-1150

National Provider Directory

National Provider Directory

Locations

710 N Brea Blvd
Ste G
Brea, CA 92821
Phone (714) 255-7060

Practitioners & affiliated clinicians

Practitioners 6

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": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1700132479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N BREA BLVD",
            "address_2": "SUITE G",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213336",
            "telephone_number": "714-671-1150",
            "fax_number": "714-671-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N BREA BLVD",
            "address_2": "SUITE G",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213336",
            "telephone_number": "714-671-1150",
            "fax_number": "714-671-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS W. SHULTS, DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "SHULTS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-671-1150",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.