DR. JARED SCOTT SHULTZ DDS
NPI 1124023270
Dentist - General Practice in Tyler, TX

Q: What is Jared Shultz's NPI number?

The NPI number for Jared Shultz is 1124023270. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Q: What is Jared Shultz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jared Shultz was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 16, 2005PECOS Enrolled

4290 KINSEY DR STE 300, TYLER, TX 75703(903) 630-6868(903) 630-6871 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jared Scott Shultz Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JARED SCOTT SHULTZ DDS (NPI 1124023270) is an individual general practice provider in Tyler, Texas, licensed in Texas (18104) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124023270

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JARED SCOTT SHULTZCredential: DDS

Location Address4290 KINSEY DR STE 300Tyler, TX 75703-1022

Mailing Address4290 Kinsey Dr Ste 300Tyler, TX 75703-1022 · (903) 630-6868 · Fax (903) 630-6871

Phone(903) 630-6868

Fax(903) 630-6871

Sole ProprietorNo

Enumeration DateJune 16, 2005

Last NPPES UpdateSeptember 11, 2019

✔ NPI 1124023270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 18104

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4290 KINSEY DR STE 300, Tyler, TX 75703

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jared Scott Shultz Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHULTZ FAMILY DENTISTRY PLLC

Clinic/Center (Dental)

4290 KINSEY DR STE 300
TYLER, TX 75703

Smith County (903) 630-6868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Shultz's NPI number?

The NPI number for Jared Shultz is 1124023270. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Jared Shultz located?

Jared Shultz practices at 4290 Kinsey Dr Ste 300, Tyler, TX 75703. The listed phone number is (903) 630-6868.

What is Jared Shultz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jared Shultz enrolled in Medicare?

Yes. Jared Shultz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jared Shultz was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.