Active NPI
Joshua Olen Shelton, D.C.
- Chiropractor
- Bonners Ferry, ID
National Provider Identifier
1114259769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1401
- Practice address
- 6389 Bonner St.
Bonners Ferry, ID 83805 - Phone
- (406) 291-9444
- NPI assigned
- Feb 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-1401 | ID | Primary |
| Chiropractor | 111N00000X | 1222 | MT |
Addresses
Primary practice location
6389 Bonner St.
Bonners Ferry, ID 83805
Mailing address
PO Box 31
Bonners Ferry, ID 83805-0031
Phone (406) 291-9444
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1222 | MT | MD | Addiction (Substance Use Disorder) Counselor |
| CHIA-1401 | ID | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1114259769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31",
"city": "BONNERS FERRY",
"state": "ID",
"postal_code": "838050031",
"telephone_number": "406-291-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6389 BONNER ST.",
"city": "BONNERS FERRY",
"state": "ID",
"postal_code": "83805",
"telephone_number": "406-291-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "JOSHUA",
"middle_name": "OLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-08",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1401",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "1222",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonners Ferry, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.