Active NPI
Shelby Chiropractic Inc.
- Chiropractor
- Shelby, MT
National Provider Identifier
1104287416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 641
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan Bridge
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350056143 | Other | MT | RAILROAD MEDICARE |
| 0000160693 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160408001023 | MT | Part B Supplier - Clinic/Group Practice | 8820396716 |
Receives reassigned benefits from 2 practitioners Practice locations: Shelby, MT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Helena, MT
- NPI 1427419043
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.