Shelby L Waldman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05484 Issued in KS

Practice address

153 W 151St St
Ste 150
Olathe, KS 66061-5348

Phone

(913) 390-9355

Fax

(913) 390-9356

NPI assigned

Jun 18, 2012

Last updated

Oct 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cleveland University Kansas City

  • Chiropractor
  • Overland Park, KS
  • NPI 1558754341
  Medicare reassignment
• Waldman Wellness and Chiropractic LLC

  dba Key Dynamics Chiropractic

  • Clinic/Center
  • Olathe, KS
  • NPI 1396182572
  Authorized official Same address or phone
• Cleveland Chiropractic Co

  • Chiropractor
  • Kansas City, MO
  • NPI 1659386134
  NPD
• Goodrum Health Enterprises PA

  • Chiropractor
  • Olathe, KS
  • NPI 1669613550
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1225391063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 W 151ST ST",
            "address_2": "STE 150",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615348",
            "telephone_number": "913-390-9355",
            "fax_number": "913-390-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W 151ST ST",
            "address_2": "STE 150",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615348",
            "telephone_number": "913-390-9355",
            "fax_number": "913-390-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "SHELBY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwenyth Grace Wagner
• Valentine Waithira
• Wal-Mart Stores Inc (Vision Center 30-4475)
• Wal-Mart Stores, Inc. (Vision Center 30-0577)
• Waldman Wellness and Chiropractic LLC (Key Dynamics Chiropractic)
• Tiffany Rochelle Waldner, MS, RDN, LD
• Walgreen Co (Walgreens #04183)
• Walgreen Co (Walgreens #06112)
• Walgreen Co (Walgreens #12815)
• Walgreen Co (Walgreens #04665)

• Chiropractor in Olathe, KS
• Providers in Olathe, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.

Verify at the official NPI Registry.