Individual provider Active NPI

Nicholas Shelby, DC

  • Chiropractor
  • Carmel, IN
National Provider Identifier
1023624491
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003174A Issued in IN
Practice address
4335 W 106TH St Ste 1000
Carmel, IN 46032-7744
Phone
(317) 973-0304
Fax
(317) 682-4970
NPI assigned
Sep 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003174A IN Primary

Addresses

Primary practice location

4335 W 106TH St Ste 1000
Carmel, IN 46032-7744

Mailing address

4335 W 106TH St Ste 1000
Carmel, IN 46032-7744
Phone (317) 973-0304

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200925001641 IN Practitioner - Chiropractic 7214356104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4335 W 106TH St
Suite 1000
Carmel, IN 46032-7744
Phone (317) 973-0304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003174AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Chiropractic LLC Chiropractor CurrentSince Sep 23, 2020 Accepting new patients

Locations

4335 W 106th St
Ste 1000
Carmel, IN 46032
Phone (317) 973-0304

Organizations & group practices 1

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1023624491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 W 106TH ST STE 1000",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327744",
            "telephone_number": "317-973-0304",
            "fax_number": "317-682-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4335 W 106TH ST STE 1000",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327744",
            "telephone_number": "317-973-0304",
            "fax_number": "317-682-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELBY",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003174A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.