Individual provider Active NPI

John Gregory Schutz II, D.C.

  • Chiropractor
  • Waverly, IA
National Provider Identifier
1831122092
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05690 Issued in MN
Practice address
1240 10TH Ave. SW
Waverly, IA 50677-0209
Phone
(319) 352-2425
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05690 MN Primary

Addresses

Primary practice location

1240 10TH Ave. SW
Waverly, IA 50677-0209

Mailing address

1240 10TH Ave. SW
Waverly, IA 50677-3432
Phone (319) 352-2425

Other identifiers 1

IdentifierTypeStateIssuer
1101394MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119001018 IA Practitioner - Chiropractic 8022098151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1240 10TH Ave SW
Waverly, IA 50677-3704
Phone (319) 352-2425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A05690MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Waverly Chiropractic Specialties Chiropractor CurrentSince Aug 22, 2008 Accepting new patients
Waverly Chiropractic, PLC Chiropractor Past Accepting new patients

Locations

2206 E Bremer Ave
Waverly, IA 50677
Phone (319) 352-2425

1240 10th Ave SW
Waverly, IA 50677
Phone (319) 352-2425

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1831122092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 10TH AVE. SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773432",
            "telephone_number": "319-352-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 10TH AVE. SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506770209",
            "telephone_number": "319-352-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTZ",
        "first_name": "JOHN",
        "middle_name": "GREGORY",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "A05690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101394",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.