Organization Active NPI

Shubert Chiropractic PA

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1366700080
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-03869 Issued in KS
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

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Dr. Melody Joy Shubert, DCNPI 1407955396
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1407955396OtherKSNATIONAL PROVIDER IDENTIFIER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121002000587 KS Part B Supplier - Clinic/Group Practice 5092964320 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.