Organization Active NPI

Shelby Medical Center, Inc.

  • General Practice Physician
  • Shelbyville, IN
National Provider Identifier
1104122159
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
01050761A Issued in IN
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

Updated by the provider on Feb 8, 2011

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X IN08001540A IN
Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0123X 01050761A IN
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.