Shively Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4679 Issued in KY

Legal business name

SHIVELY CHIROPRACTIC, LLC

Practice address

3934 Dixie Hwy Ste 345
Louisville, KY 40216

Phone

(502) 365-3701

Fax

(502) 205-9955

NPI assigned

Nov 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Brian David Anderson, DC

Title

Provider

Phone

(502) 365-3701

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1316489297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 DIXIE HWY STE 345",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164100",
            "telephone_number": "502-365-3701",
            "fax_number": "502-205-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 DIXIE HWY STE 345",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40216",
            "telephone_number": "502-365-3701",
            "fax_number": "502-205-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVELY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "502-365-3701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100497680",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Nicole Shirley
• Sydney Alexandria Shirley, DMD
• Andrew Shirota
• Deepika Shiroy
• Kelsi Shivel
• Shively First Health Care, LLC
• Steven Richard Shlonsky, DPM
• Sean M Shockey, MD
• Samantha Shockley, BCBA, LBA
• Sierra Shockley

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.