Organization Active NPI

Robert J. Schulte, Jr. PA

  • Clinic/Center
  • Fargo, ND
National Provider Identifier
1881864163
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
349 Issued in ND
Legal business name
ROBERT J. SCHULTE, JR. PA
Practice address
2800 University Dr S
Fargo, ND 58103-6030
Phone
(701) 237-0710
Fax
(701) 237-0615
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Robert J Schulte Jr., DC
Title
Owner
Phone
(701) 237-0710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 349 ND Primary

Addresses

Primary practice location

2800 University Dr S
Fargo, ND 58103-6030

Mailing address

2800 University Dr S
Fargo, ND 58103-6030
Phone (701) 237-0710

Other identifiers 2

IdentifierTypeStateIssuer
018074MedicaidND
068725100MedicaidMN

National Provider Directory

National Provider Directory

Locations

2800 University Dr S
Fargo, ND 58103
Phone (701) 232-4770

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1881864163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036030",
            "telephone_number": "701-237-0710",
            "fax_number": "701-237-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036030",
            "telephone_number": "701-237-0710",
            "fax_number": "701-237-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. SCHULTE, JR. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "SCHULTE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-237-0710",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ND",
            "license": "349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018074",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068725100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.