Organization Active NPI

Shelby Chiropractic Inc.

  • Chiropractor
  • Shelby, MT
National Provider Identifier
1104287416
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
641 Issued in MT
Legal business name
SHELBY CHIROPRACTIC INC.
Practice address
234 Main St
Shelby, MT 59474-1910
Phone
(406) 434-2262
NPI assigned
Mar 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Alan BridgeNPI 1245211002
Title
Chiropractor
Phone
(406) 434-2262

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 641 MT Primary

Addresses

Primary practice location

234 Main St
Shelby, MT 59474-1910

Mailing address

234 Main St
Shelby, MT 59474-1910

Other identifiers 2

IdentifierTypeStateIssuer
350056143OtherMTRAILROAD MEDICARE
0000160693MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160408001023 MT Part B Supplier - Clinic/Group Practice 8820396716 Receives reassigned benefits from 2 practitioners
Practice locations: Shelby, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1104287416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MAIN ST",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "594741910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MAIN ST",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "594741910",
            "telephone_number": "406-434-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "BRIDGE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "406-434-2262"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350056143",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000160693",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.