Individual provider Active NPI

Shelby Marie Elder, DC

  • Chiropractor
  • Plano, TX
National Provider Identifier
1083245336
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14323 Issued in TX
Practice address
6130 W Parker Rd Ste 502
Plano, TX 75093-7993
Phone
(972) 238-0512
Fax
(972) 378-6925
NPI assigned
Jan 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 14323 TX
Chiropractor 111N00000X 14323 TX Primary

Addresses

Primary practice location

6130 W Parker Rd Ste 502
Plano, TX 75093-7993

Mailing address

6130 W Parker Rd Ste 502
Plano, TX 75093-7993
Phone (972) 238-0512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14323TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas-Fort Worth Spine Institute, LLC CurrentSince Feb 2, 2020 Accepting new patients
Spine and Wellness Institute, PLLC PastSince Feb 2, 2020 Accepting new patients

Locations

6130 W Parker Rd
Ste 502
Plano, TX 75093
Phone (972) 238-0512

Organizations & group practices 2

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": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1083245336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 W PARKER RD STE 502",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937993",
            "telephone_number": "972-238-0512",
            "fax_number": "972-378-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 W PARKER RD STE 502",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937993",
            "telephone_number": "972-238-0512",
            "fax_number": "972-378-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "SHELBY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "14323",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.