Active NPI
Shelby Medical Center, Inc.
- General Practice Physician
- Shelbyville, IN
National Provider Identifier
1104122159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 01050761A
- Legal business name
- SHELBY MEDICAL CENTER, INC.
- Practice address
- 302 Duran Dr
Shelbyville, IN 46176-1986 - Phone
- (317) 392-6200
- Fax
- (317) 398-7526
- NPI assigned
- Feb 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel P Duran, DC
- Title
- Partner
- Phone
- (317) 392-6200
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IN08001540A | IN | |
| Facial Plastic Surgery Physician | 207YS0123X | 01050761A | IN | |
| General Practice Physician | 208D00000X | 01050761A | IN | Primary |
Addresses
Primary practice location
302 Duran Dr
Shelbyville, IN 46176-1986
Mailing address
302 Duran Dr
Shelbyville, IN 46176-1986
Phone (317) 392-6200
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297123200000",
"number": "1104122159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 DURAN DR",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461761986",
"telephone_number": "317-392-6200",
"fax_number": "317-398-7526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 DURAN DR",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461761986",
"telephone_number": "317-392-6200",
"fax_number": "317-398-7526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELBY MEDICAL CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-08",
"last_updated": "2011-02-08",
"status": "A",
"authorized_official_last_name": "DURAN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "317-392-6200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IN",
"license": "IN08001540A",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "IN",
"license": "01050761A",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "IN",
"license": "01050761A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.