Organization Active NPI

Schultztoms LLC

  • General Practice Dentistry
  • Madras, OR
National Provider Identifier
1881719631
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SCHULTZTOMS LLC
Practice address
611 SE 5TH St
Madras, OR 97741-1506
Phone
(541) 475-7188
Fax
(541) 475-6159
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Bev Louise Schultz
Title
Office Manager
Phone
(541) 475-7188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

611 SE 5TH St
Madras, OR 97741-1506

Mailing address

611 SE 5TH St
Madras, OR 97741-1506
Phone (541) 475-7188

National Provider Directory

National Provider Directory

Locations

621 S 5th St
Ste 101
Madras, OR 97741
Phone (541) 475-7188

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881719631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SE 5TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411506",
            "telephone_number": "541-475-7188",
            "fax_number": "541-475-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SE 5TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411506",
            "telephone_number": "541-475-7188",
            "fax_number": "541-475-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHULTZTOMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "BEV",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-475-7188",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madras, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.