Individual provider Active NPI

Jordan Andrew Schultz, DDS

  • Dentist
  • Linden, MI
National Provider Identifier
1730819749
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901601243 Issued in MI
Practice address
200 Lindenwood Dr
Linden, MI 48451-8941
Phone
(810) 735-9426
NPI assigned
Jun 13, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901601243 MI Primary

Addresses

Primary practice location

200 Lindenwood Dr
Linden, MI 48451-8941

Mailing address

539 S 5TH Ave Apt 3
Ann Arbor, MI 48104-2928
Phone (517) 898-4229

Other practice location 1

601 W Grand River Ave
Okemos, MI 48864-3110
Phone (517) 349-4540

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@jschultzdentistry.com Direct

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

LicenseStateTypeSpecialty
2901601243MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Schultz Family Dentistry CurrentSince Jun 21, 2022 Accepting new patients
Patricia McGarry CurrentSince Jun 21, 2022 Accepting new patients
Jeffrey a Lonier, DDS PLLC PastSince Jun 21, 2022 Accepting new patients

Locations

200 Lindenwood Dr
Linden, MI 48451
Phone (810) 735-9426

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1730819749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 S 5TH AVE APT 3",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042928",
            "telephone_number": "517-898-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LINDENWOOD DR",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484518941",
            "telephone_number": "810-735-9426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488643110",
            "country_code": "US",
            "telephone_number": "517-349-4540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JORDAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@jschultzdentistry.com",
            "affiliation": "N",
            "endpointDescription": "Practice email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Lindenwood Dr",
            "city": "Linden",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484518941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Linden, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; 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.