Individual provider Active NPI

Keith E Schulz, DC

  • Chiropractor
  • Airway Heights, WA
National Provider Identifier
1790882843
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002357 Issued in WA
Practice address
12727 W 14TH Ave
Airway Heights, WA 99001-9409
Phone
(509) 244-4818
Fax
(509) 244-8945
NPI assigned
Sep 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002357 WA Primary

Addresses

Primary practice location

12727 W 14TH Ave
Airway Heights, WA 99001-9409

Mailing address

PO Box 863
Airway Heights, WA 99001-0863
Phone (509) 244-4818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051007000053 WA Practitioner - Chiropractic 0244225332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Plains Chiropractic PSGroup PAC ID 2264427350, 2 clinicians

Practice addresses (Care Compare)

12727 W 14TH Ave
Airway Heights, WA 99001-9409
Phone (509) 244-4818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00002357WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Dudenhofer Arnp PS CurrentSince Jan 15, 2017 Accepting new patients
West Plains Chiropractic, PS Chiropractor CurrentSince Jan 3, 2003 Accepting new patients

Locations

12727 W 14th Ave
Airway Hgts, WA 99001
Phone (509) 244-4818

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790882843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "AIRWAY HEIGHTS",
            "state": "WA",
            "postal_code": "990010863",
            "telephone_number": "509-244-4818",
            "fax_number": "509-244-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 W 14TH AVE",
            "city": "AIRWAY HEIGHTS",
            "state": "WA",
            "postal_code": "990019409",
            "telephone_number": "509-244-4818",
            "fax_number": "509-244-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "KEITH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Airway Heights, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.