Individual provider Active NPI

Robert B Sheely, D.C.

  • Chiropractor
  • Middletown, OH
National Provider Identifier
1194875245
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
841 Issued in OH
Practice address
1002 N University Blvd
Middletown, OH 45042-3300
Phone
(513) 217-7035
Fax
(513) 318-4973
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 841 OH Primary

Addresses

Primary practice location

1002 N University Blvd
Middletown, OH 45042-3300

Mailing address

1002 N University Blvd
Middletown, OH 45042-3300
Phone (513) 217-7035

Other identifiers 5

IdentifierTypeStateIssuer
000000010589OtherOHANTHEM ID
0841C01OtherOHHUMANA
311021750026OtherOHCARESOURCE
L0437085MedicaidOH
31-1021750OtherOHTAX ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drrob@sheelychiro.com Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Robert B. Sheely, Inc. Chiropractor CurrentSince May 17, 2020 Accepting new patients

Locations

1002 N University Blvd
Middletown, OH 45042
Phone (513) 217-7035

1060 N University Blvd
Middletown, OH 45042

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1194875245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N UNIVERSITY BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423300",
            "telephone_number": "513-217-7035",
            "fax_number": "513-318-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N UNIVERSITY BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423300",
            "telephone_number": "513-217-7035",
            "fax_number": "513-318-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEELY",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "000000010589",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "0841C01",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "311021750026",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L0437085",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "31-1021750",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drrob@sheelychiro.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "1002 N University Blvd",
            "city": "Middletown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450423300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.