Individual provider Active NPI

Shelley Dana Blue, DC

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1194828202
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7451 Issued in FL
Practice address
342 N Congress Ave
Boynton Chiropractic Center, Inc
Boynton Beach, FL 33426-3465
Phone
(561) 733-2508
Fax
(561) 733-2658
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7451 FL Primary

Addresses

Primary practice location

342 N Congress Ave
Boynton Chiropractic Center, Inc
Boynton Beach, FL 33426-3465

Mailing address

342 N Congress Ave
Boynton Chiropractic Center, Inc
Boynton Beach, FL 33426-3465
Phone (561) 733-2508

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

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1194828202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 N CONGRESS AVE",
            "address_2": "BOYNTON CHIROPRACTIC CENTER, INC",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263465",
            "telephone_number": "561-733-2508",
            "fax_number": "561-733-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 N CONGRESS AVE",
            "address_2": "BOYNTON CHIROPRACTIC CENTER, INC",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263465",
            "telephone_number": "561-733-2508",
            "fax_number": "561-733-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "SHELLEY",
        "middle_name": "DANA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.