Individual provider Active NPI

Darin Nelson Schultz, D.C.

  • Chiropractor
  • Centralia, WA
National Provider Identifier
1750353199
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 60040687 Issued in WA
Practice address
802 W Main St
Centralia, WA 98531-2849
Phone
(360) 736-6263
Fax
(360) 736-0811
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 60040687 WA Primary

Addresses

Primary practice location

802 W Main St
Centralia, WA 98531-2849

Mailing address

802 W Main St
Centralia, WA 98531-2849
Phone (360) 736-6263

Other identifiers 1

IdentifierTypeStateIssuer
4752059MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091008000704 WA Practitioner - Chiropractic 0547154619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schultz Chiro IncGroup PAC ID 5193111409, 2 clinicians

Practice addresses (Care Compare)

802 W Main St
Centralia, WA 98531-2849
Phone (360) 736-6263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 60040687WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Schultz Chiro Inc Chiropractor CurrentSince Feb 1, 2022 Accepting new patients
Life Chiropractic Center P.C Chiropractor Past Accepting new patients

Locations

802 W Main St
Centralia, WA 98531
Phone (360) 736-6263

Organizations & group practices 2

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1750353199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W MAIN ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985312849",
            "telephone_number": "360-736-6263",
            "fax_number": "360-736-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W MAIN ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985312849",
            "telephone_number": "360-736-6263",
            "fax_number": "360-736-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "DARIN",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60040687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4752059",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.