Organization Active NPI

Shull Chiropractic Center

  • Chiropractor
  • Mount Pleasant, IA
National Provider Identifier
1285814418
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05778 Issued in IA
Legal business name
SHULL CHIROPRACTIC CENTER
Practice address
811 E Washington St
Mount Pleasant, IA 52641-1962
Phone
(319) 385-7320
Fax
(319) 385-7322
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. Matthew G Shull, D.C.NPI 1548442056
Title
Owner
Phone
(319) 385-7320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A05778 IA Primary

Addresses

Primary practice location

811 E Washington St
Mount Pleasant, IA 52641-1962

Mailing address

811 E Washington St
Mount Pleasant, IA 52641-1962
Phone (319) 385-7320

Other identifiers 2

IdentifierTypeStateIssuer
0108050MedicaidIA
15055OtherIAMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

811 E Washington St
Mt Pleasant, IA 52641
Phone (319) 385-7320

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1285814418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E WASHINGTON ST",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526411962",
            "telephone_number": "319-385-7320",
            "fax_number": "319-385-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E WASHINGTON ST",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526411962",
            "telephone_number": "319-385-7320",
            "fax_number": "319-385-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHULL CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "SHULL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-385-7320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108050",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "15055",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.