Individual provider Active NPI

Douglas M Schulz, DDS

  • General Practice Dentistry
  • Overland Park, KS
National Provider Identifier
1730200346
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5837 Issued in KS
Practice address
6700 W 121St St
Suite 104
Overland Park, KS 66209-2027
Phone
(913) 649-3313
Fax
(913) 906-0800
NPI assigned
Apr 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5837 KS Primary

Addresses

Primary practice location

6700 W 121St St
Suite 104
Overland Park, KS 66209-2027

Mailing address

6700 W 121St St
Suite 104
Overland Park, KS 66209-2027
Phone (913) 649-3313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161026000175 KS Order and Referring Only - DentistPractitioner - Dentist 5193003168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730200346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 W 121ST ST",
            "address_2": "SUITE 104",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092027",
            "telephone_number": "913-649-3313",
            "fax_number": "913-906-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 W 121ST ST",
            "address_2": "SUITE 104",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092027",
            "telephone_number": "913-649-3313",
            "fax_number": "913-906-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.