Organization Active NPI

Shelby Ness LLC

Doing business as Legacy Chiropractic

  • Chiropractor
  • North Fort Myers, FL
National Provider Identifier
1073379087
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SHELBY NESS LLC
Doing business as
Legacy Chiropractic
Practice address
6694 Bayshore Rd Ste 109
North Fort Myers, FL 33917-3307
Phone
(941) 405-3228
NPI assigned
Feb 27, 2024
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Dr. Shelby Lowe, DCNPI 1669970372
Title
Owner
Phone
(941) 405-3228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

6694 Bayshore Rd Ste 109
North Fort Myers, FL 33917-3307

Mailing address

6694 Bayshore Rd Ste 109
North Fort Myers, FL 33917-3307
Phone (941) 405-3228

Other names 1

  • Legacy Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240306002486 FL Part B Supplier - Clinic/Group Practice 8628414299 Receives reassigned benefits from 2 practitioners
Practice locations: North Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

6694 Bayshore Rd
Ste 109
North Ft Myers, FL 33917
Phone (239) 257-1121

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1073379087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6694 BAYSHORE RD STE 109",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339173307",
            "telephone_number": "941-405-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6694 BAYSHORE RD STE 109",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339173307",
            "telephone_number": "941-405-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY NESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-405-3228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.