Active NPI
Courtney Schulte, DDS
- Dentist
- Hermosa Beach, CA
National Provider Identifier
1780408484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 110939
- Practice address
- 1559 Pacific Coast Hwy
Hermosa Beach, CA 90254-3214 - Phone
- (310) 372-7686
- NPI assigned
- Nov 11, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 110939 | CA | Primary |
Addresses
Primary practice location
1559 Pacific Coast Hwy
Hermosa Beach, CA 90254-3214
Mailing address
10600 Wilshire Blvd Apt 624
Los Angeles, CA 90024-4568
Phone (808) 271-9229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250808004024 | CA | Order and Referring Only - Dentist | 5597263525 |
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": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1780408484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10600 WILSHIRE BLVD APT 624",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244568",
"telephone_number": "808-271-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1559 PACIFIC COAST HWY",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902543214",
"telephone_number": "310-372-7686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTE",
"first_name": "COURTNEY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "110939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermosa Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.