Active NPI
Melody J. Shubert, DC
- Internist Chiropractor
- Wichita, KS
National Provider Identifier
1407955396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- C-3869
- Practice address
- 2456 N Woodlawn Blvd
Suite 5C
Wichita, KS 67220-3968 - Phone
- (316) 636-4444
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | C-3869 | KS | Primary |
Addresses
Primary practice location
2456 N Woodlawn Blvd
Suite 5C
Wichita, KS 67220-3968
Mailing address
2456 N Woodlawn Blvd
Suite 5C
Wichita, KS 67220-3968
Phone (316) 636-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55007 | Other | KS | BLUE CROSS BLUE SHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2456 N Woodlawn Blvd
Suite 5C
Wichita, KS 67220-3968
Phone (316) 636-4444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-3869 | KS | MD | Internist Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shubert Chiropractic PA | Current | Accepting new patients |
Locations
3101 N Rock Rd
Ste 100
Wichita, KS 67226
Phone (216) 636-4444
2456 N Woodlawn Blvd
Ste 5C
Wichita, KS 67220
Phone (316) 636-4444
Organizations & group practices 1
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.
-
- Chiropractor
- Wichita, KS
- NPI 1366700080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433462400000",
"number": "1407955396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2456 N WOODLAWN BLVD",
"address_2": "SUITE 5C",
"city": "WICHITA",
"state": "KS",
"postal_code": "672203968",
"telephone_number": "316-636-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2456 N WOODLAWN BLVD",
"address_2": "SUITE 5C",
"city": "WICHITA",
"state": "KS",
"postal_code": "672203968",
"telephone_number": "316-636-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUBERT",
"first_name": "MELODY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2015-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "KS",
"license": "C-3869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "55007",
"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 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.