Active NPI
Garrett Schultz, DC
- Chiropractor
- Fargo, ND
National Provider Identifier
1750845988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1101
- Practice address
- 1102 43Rd St S Ste F
Fargo, ND 58103-2099 - Phone
- (701) 356-0016
- Fax
- (701) 892-7064
- NPI assigned
- Jan 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1101 | ND | Primary |
Addresses
Primary practice location
1102 43Rd St S Ste F
Fargo, ND 58103-2099
Mailing address
1102 43Rd St S Ste F
Fargo, ND 58103-2099
Phone (701) 356-0016
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1101 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revitalize Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Fargo, ND
- NPI 1891452371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1750845988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 43RD ST S STE F",
"city": "FARGO",
"state": "ND",
"postal_code": "581032099",
"telephone_number": "701-356-0016",
"fax_number": "701-892-7064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 43RD ST S STE F",
"city": "FARGO",
"state": "ND",
"postal_code": "581032099",
"telephone_number": "701-356-0016",
"fax_number": "701-892-7064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "GARRETT",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "1101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.