Vincent Lovell Shelby, D.C., FIAMA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005939 Issued in MO

Practice address

206 W 2ND St
Maryville, MO 64468-2229

Phone

(660) 582-8099

Fax

(660) 582-5161

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1991

Medicare assignment

May accept Medicare assignment

Group practices

Northwest Chiropractic ClinicGroup PAC ID 6002084415, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northwest Chiropractic Clinic

  • Chiropractor
  • Maryville, MO
  • NPI 1063703536
  Medicare reassignment Care Compare group Authorized official
• Northwest Chiropractic Clinic, LLC

  • Chiropractor
  • Maryville, MO
  • NPI 1235319708
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1225125842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W 2ND ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682229",
            "telephone_number": "660-582-8099",
            "fax_number": "660-582-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W 2ND ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682229",
            "telephone_number": "660-582-8099",
            "fax_number": "660-582-5161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Stanberry",
            "state": "MO",
            "postal_code": "644891102",
            "country_code": "US",
            "telephone_number": "660-235-8037",
            "fax_number": "660-582-5161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELBY",
        "first_name": "VINCENT",
        "middle_name": "LOVELL",
        "name_prefix": "Dr.",
        "credential": "D.C., FIAMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS GROUP #",
            "identifier": "27741011",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN",
            "identifier": "1158800",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHEILD",
            "identifier": "17447015",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Saxton, PMHNP-BC
• Dean Melvin Schneider
• Becca Kaye Schrock, DO
• Jacqueline Schulte
• Jason Alexander Scott, D.P.T.
• Danielle Shifflett, APRN
• Julie Simmerman, PHARM D
• Halley Sims
• Amrit P. Singh, M.D.
• Jasmine Slocum, LBA

• Chiropractor in Maryville, MO
• Providers in Maryville, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.