Garrett Shelby, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-05308 Issued in OH

Practice address

4936 Wunnenberg Way
West Chester, OH 45069-4985

Phone

(513) 860-5400

Fax

(513) 870-5752

NPI assigned

Nov 20, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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.

• Beckett Ridge Chiropractic LLC

  • Chiropractor
  • West Chester, OH
  • NPI 1700894052
  Medicare reassignment NPD

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1366217325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 WUNNENBERG WAY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694985",
            "telephone_number": "513-860-5400",
            "fax_number": "513-870-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4936 WUNNENBERG WAY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694985",
            "telephone_number": "513-860-5400",
            "fax_number": "513-870-5752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8148 Princeton Glendale Rd",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450695883",
            "country_code": "US",
            "telephone_number": "513-805-4361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELBY",
        "first_name": "GARRETT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DC-05308",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisabeth Long Shaw, LPC
• Larysa Shcherbyna
• Yuliia Shcherbyna
• Kristina Shearree
• David Michael Shehane, OTR/L
• Jillian I Shelly, OT
• Kenneth Robert Shelton, R.PH.
• Deborah Ann Shepherd
• Meredith Shepherd
• Hannah Sherley

• Chiropractor in West Chester, OH
• Providers in West Chester, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.