Individual provider Active NPI

Kenneth Raymond Schultes, DVM

  • Veterinarian
  • Pocahontas, IA
National Provider Identifier
1790044766
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
IOWA5237 Issued in IA
Practice address
218 Front Ave
Pocahantas Veterinary Clinic
Pocahontas, IA 50574
Phone
(712) 335-4411
Fax
(712) 335-4325
NPI assigned
May 11, 2012
Last updated
May 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X IOWA5237 IA Primary

Addresses

Primary practice location

218 Front Ave
Pocahantas Veterinary Clinic
Pocahontas, IA 50574

Mailing address

218 Front Ave
Pocahantas Veterinary Clinic
Pocahontas, IA 50574
Phone (712) 335-4411

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
IOWA5237IAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1790044766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 FRONT AVE",
            "address_2": "POCAHANTAS VETERINARY CLINIC",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "50574",
            "telephone_number": "712-335-4411",
            "fax_number": "712-335-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 FRONT AVE",
            "address_2": "POCAHANTAS VETERINARY CLINIC",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "50574",
            "telephone_number": "712-335-4411",
            "fax_number": "712-335-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTES",
        "first_name": "KENNETH",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "IA",
            "license": "IOWA5237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.