DR. JARED SCOTT SHULTZ (DDS) – General Practice Dentistry, NPI 1124023270

DR. JARED SCOTT SHULTZ (DDS) is a healthcare provider. based in Tyler, Texas. specializing in General Practice Dentistry. They hold the professional credentials DDS. They hold a License No. 18104 (TX). The NPI Number for DR. JARED SCOTT SHULTZ (DDS) is 1124023270

Main info

Male
Name
DR. JARED SCOTT SHULTZ (DDS)
NPI
1124023270
Phone
(903) 630-6868
Address
4290 KINSEY DR STE 300
Enumeration Date
16 June 2005
Last Update Date
11 September 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JARED SCOTT SHULTZ (DDS)

  • Kinsey Drive, Tyler, Smith County, Texas, 75703, United States

    TYLER, TX 757031022

    Phone: (903) 630-6868

    Fax: (903) 630-6871

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Dentsply Sirona Inc ($39).

Total Amount

$53

General + Research + Ownership

Payments

3

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-02

PECOS data refreshed: 2026-05-27

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75703)

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Reviews

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Frequently asked questions

Where can patients find DR. JARED SCOTT SHULTZ (DDS)'s NPI?
You can confirm DR. JARED SCOTT SHULTZ (DDS) with NPI 1124023270; it appears in the national provider directory.
Is DR. JARED SCOTT SHULTZ (DDS) currently active in the NPI registry?
CMS-published data lists DR. JARED SCOTT SHULTZ (DDS) as an active registrant.
Can you summarize DR. JARED SCOTT SHULTZ (DDS)'s specialty in plain language?
Clinically, the directory lists DR. JARED SCOTT SHULTZ (DDS) with General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What location shows for DR. JARED SCOTT SHULTZ (DDS)?
We surface Tyler, Texas for DR. JARED SCOTT SHULTZ (DDS) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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