Individual provider Active NPI

Nicole Melissa Short, D.C., M.S.

  • Chiropractor
  • Dublin, OH
National Provider Identifier
1083121826
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-04786 Issued in OH
Practice address
6554 Longshore St
Dublin, OH 43017-2785
Phone
(614) 681-0195
Fax
(614) 681-0872
NPI assigned
Jan 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-04786 OH Primary

Addresses

Primary practice location

6554 Longshore St
Dublin, OH 43017-2785

Mailing address

325 Holly Grove Rd
Lewis Center, OH 43035-8721
Phone (513) 470-5076

Other names 1

  • Dr. Nicole Melissa Lefton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180119002549 OH Practitioner - Chiropractic 0244599231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Rise Chiropractic and NutritionGroup PAC ID 2365848207, 2 clinicians

Practice addresses (Care Compare)

6554 Longshore St
Dublin, OH 43017-2785
Phone (614) 681-0195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DC-04786OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Chiropractic & Nutrition Chiropractor CurrentSince Jul 1, 2021 Accepting new patients

Locations

84 N High St
Ste 1A
Dublin, OH 43017
Phone (614) 681-0195

6554 Longshore St
Dublin, OH 43017
Phone (614) 681-0195

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": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1083121826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 HOLLY GROVE RD",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358721",
            "telephone_number": "513-470-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6554 LONGSHORE ST",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172785",
            "telephone_number": "614-681-0195",
            "fax_number": "614-681-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "NICOLE",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LEFTON",
            "middle_name": "MELISSA",
            "prefix": "DR.",
            "credential": "D.C., M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.