Organization Active NPI

Schultz Chiropractic Wellness Zone, P.C.

  • Chiropractor
  • Johnston, IA
National Provider Identifier
1720247398
Registry record updated Jun 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A5344 Issued in IA
Legal business name
SCHULTZ CHIROPRACTIC WELLNESS ZONE, P.C.
Practice address
5850 NW 62ND Ave
Johnston, IA 50131-1537
Phone
(515) 270-2924
Fax
(515) 253-9920
NPI assigned
Jun 8, 2008
Organization subpart
Yes
Parent organization
SCHULTZ CHIROPRACTIC WELLNESS ZONE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2008

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

Authorized official

Name
Dr. Alan J. Schultz, D.C.NPI 1487724951
Title
President
Phone
(515) 270-2924

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A5344 IA Primary

Addresses

Primary practice location

5850 NW 62ND Ave
Johnston, IA 50131-1537

Mailing address

5850 NW 62ND Ave
Box 708
Johnston, IA 50131-1537
Phone (515) 270-2924

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080630000346 IA Part B Supplier - Clinic/Group Practice 5496827883 Receives reassigned benefits from 1 practitioner
Practice locations: Johnston, IA

National Provider Directory

National Provider Directory
Part of
Schultz Chiropractic PC

Locations

5850 NW 62nd Ave
#708
Johnston, IA 50131

5850 NW 62nd Ave
Johnston, IA 50131
Phone (515) 270-2924

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212883200000",
    "number": "1720247398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 NW 62ND AVE",
            "address_2": "BOX 708",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311537",
            "telephone_number": "515-270-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 NW 62ND AVE",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311537",
            "telephone_number": "515-270-2924",
            "fax_number": "515-253-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHULTZ CHIROPRACTIC WELLNESS ZONE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCHULTZ CHIROPRACTIC WELLNESS ZONE, P.C.",
        "enumeration_date": "2008-06-08",
        "last_updated": "2008-06-08",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-270-2924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A5344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2008; 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.