Active NPI
Shubert Chiropractic PA
- Chiropractor
- Wichita, KS
National Provider Identifier
1366700080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-03869
- Legal business name
- SHUBERT CHIROPRACTIC PA
- Practice address
- 2456 N Woodlawn Blvd
Ste. 5C
Wichita, KS 67220-3968 - Phone
- (316) 636-4444
- Fax
- (316) 634-0930
- NPI assigned
- May 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melody Joy Shubert, DC
- Title
- Chiropractor
- Phone
- (316) 636-4444
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-03869 | KS | Primary |
Addresses
Primary practice location
2456 N Woodlawn Blvd
Ste. 5C
Wichita, KS 67220-3968
Mailing address
2456 N Woodlawn Blvd
Ste. 5C
Wichita, KS 67220-3968
Phone (316) 636-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407955396 | Other | KS | NATIONAL PROVIDER IDENTIFIER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2456 N Woodlawn Blvd
Ste 5C
Wichita, KS 67220
Phone (316) 636-4444
3101 N Rock Rd
Ste 100
Wichita, KS 67226
Phone (216) 636-4444
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internist Chiropractor
- Wichita, KS
- NPI 1407955396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433980800000",
"number": "1366700080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2456 N WOODLAWN BLVD",
"address_2": "STE. 5C",
"city": "WICHITA",
"state": "KS",
"postal_code": "672203968",
"telephone_number": "316-636-4444",
"fax_number": "316-634-0930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2456 N WOODLAWN BLVD",
"address_2": "STE. 5C",
"city": "WICHITA",
"state": "KS",
"postal_code": "672203968",
"telephone_number": "316-636-4444",
"fax_number": "316-634-0930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHUBERT CHIROPRACTIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-01",
"last_updated": "2015-06-11",
"status": "A",
"authorized_official_last_name": "SHUBERT",
"authorized_official_first_name": "MELODY",
"authorized_official_middle_name": "JOY",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "316-636-4444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "KS",
"license": "01-03869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROVIDER IDENTIFIER",
"identifier": "1407955396",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.