Shelby Joel Wendel, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08003206A Issued in IN

Practice address

4332 Flagstaff CV
Fort Wayne, IN 46815-4416

Phone

(260) 245-0460

Fax

(260) 245-0770

NPI assigned

Jan 6, 2021

Sex

Male

Sole proprietor

Yes

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 IN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clear Chiropractic Berne, LLC

  • Chiropractor
  • Berne, IN
  • NPI 1477351450
  Medicare reassignment NPD
• Clear Chiropractic Frankfort, LLC

  • Chiropractor
  • Frankfort, IN
  • NPI 1780425942
  NPD
• Northeast Chiropractic Center, Inc

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1821335936
  NPD
• Clear Chiropractic Indiana, LLC

  • Chiropractor
  • Portland, IN
  • NPI 1427022946
  NPD (past)

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1265020192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 S STATE ROAD 1",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473718541",
            "telephone_number": "260-703-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 FLAGSTAFF CV",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154416",
            "telephone_number": "260-245-0460",
            "fax_number": "260-245-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDEL",
        "first_name": "SHELBY",
        "middle_name": "JOEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003206A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaquile Wells
• Timothy Wells, LAT, ATC.
• Wellspring Counseling Services, LLC
• Rachel Nicole Welsh, DPM
• Michael Wemhoff, PA
• Michelle Wendell
• Wendy Griffin Allen LMFT LLC
• Carla Michele Wenger, LMHC
• Madeline Wenger, RBT
• Delaney Faith Werling

• Chiropractor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.