Individual provider Active NPI

Kirsten Nichole Selby, D.C.

  • Chiropractor
  • Port Orange, FL
National Provider Identifier
1346021383
Registry record updated Dec 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14697 Issued in FL
Practice address
3510 S Nova Rd Ste 111
Port Orange, FL 32129-3796
Phone
(386) 947-7185
NPI assigned
Oct 6, 2023
Last updated
Dec 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14697 FL Primary

Addresses

Primary practice location

3510 S Nova Rd Ste 111
Port Orange, FL 32129-3796

Mailing address

3510 S Nova Rd Ste 111
Port Orange, FL 32129-3796
Phone (386) 947-7185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008000638 FL Practitioner - Chiropractic 7113458720 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14697FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Chiro Rosado PT Orange PLLC Chiropractor CurrentSince Jul 22, 2024 Accepting new patients
Beacon Chiro and Wellness PLLC Chiropractor CurrentSince Oct 5, 2025 Accepting new patients
Passion Chiropractic LLC Chiropractor CurrentSince Dec 28, 2025 Accepting new patients

Locations

3510 S Nova Rd
Ste 111
Port Orange, FL 32129
Phone (386) 226-3494

5517 S Williamson Blvd
Ste 305
Port Orange, FL 32128
Phone (386) 444-7700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766793600000",
    "number": "1346021383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 S NOVA RD STE 111",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293796",
            "telephone_number": "386-947-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 S NOVA RD STE 111",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293796",
            "telephone_number": "386-947-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBY",
        "first_name": "KIRSTEN",
        "middle_name": "NICHOLE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2025; 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.