Individual provider Active NPI

Shelley Sembler, B.S.,D.C.

  • Chiropractor
  • South Padre Island, TX
National Provider Identifier
1376698704
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6010 Issued in TX
Practice address
3311 Padre Blvd
Suite B
South Padre Island, TX 78597-7048
Phone
(956) 761-6006
Fax
(956) 761-6002
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6010 TX Primary

Addresses

Primary practice location

3311 Padre Blvd
Suite B
South Padre Island, TX 78597-7048

Mailing address

3311 Padre Blvd
Suite B
South Padre Island, TX 78597-7048
Phone (956) 761-6006

Other identifiers 1

IdentifierTypeStateIssuer
6010OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
6010TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Chiropractic and Acupuncture Clinic LLC Chiropractor Past Accepting new patients
Impulse Inc Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1376698704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PADRE BLVD",
            "address_2": "SUITE B",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785977048",
            "telephone_number": "956-761-6006",
            "fax_number": "956-761-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PADRE BLVD",
            "address_2": "SUITE B",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785977048",
            "telephone_number": "956-761-6006",
            "fax_number": "956-761-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMBLER",
        "first_name": "SHELLEY",
        "name_prefix": "Dr.",
        "credential": "B.S.,D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6010",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Padre Island, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.