Organization Active NPI

Schultz Family Dentistry, P.C.

  • General Practice Dentistry
  • Dubuque, IA
National Provider Identifier
1730214610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08378 Issued in IA
Legal business name
SCHULTZ FAMILY DENTISTRY, P.C.
Practice address
1880 Asbury Rd
Dubuque, IA 52001-4113
Phone
(563) 582-5000
Fax
(563) 585-1958
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Meghan Schultz, D.D.S.
Title
Dentist
Phone
(563) 582-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 08378 IA Primary

Addresses

Primary practice location

1880 Asbury Rd
Dubuque, IA 52001-4113

Mailing address

1880 Asbury Rd
Dubuque, IA 52001-4113
Phone (563) 582-5000

Other identifiers 1

IdentifierTypeStateIssuer
0478743MedicaidIA

National Provider Directory

National Provider Directory

Locations

1880 Asbury Rd
Dubuque, IA 52001
Phone (563) 582-5000

Practitioners & affiliated clinicians

Practitioners 2

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730214610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 ASBURY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520014113",
            "telephone_number": "563-582-5000",
            "fax_number": "563-585-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 ASBURY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520014113",
            "telephone_number": "563-582-5000",
            "fax_number": "563-585-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHULTZ FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "563-582-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0478743",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.