Sidney Kay Shibley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4650 Issued in OK

Practice address

3345 S Harvard Ave Ste 101
Tulsa, OK 74135-1800

Phone

(918) 743-3737

NPI assigned

Feb 15, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peoria Medical LLCGroup PAC ID 8022032200, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Peoria Medical LLC

  • Rehabilitation Chiropractor
  • Tulsa, OK
  • NPI 1396930277
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1739577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1417752387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 E 140TH PL",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740333117",
            "telephone_number": "918-340-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 S HARVARD AVE STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351800",
            "telephone_number": "918-743-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIBLEY",
        "first_name": "SIDNEY",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OK",
            "license": "4650",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janiece M Sherwood, APRN
• Mark Sherwood
• Evan Wayne Shetley
• Heather Sheverbush, DNP, APRN, FNP-BC
• Michelle Grabow Shewey, M. S. SLP CCC
• Blake Shields
• Lisa Marie Shields, CRNA
• Paul Keith Shields
• Samantha Renee Shields
• An Jou Shih, MD

• Chiropractor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.

Verify at the official NPI Registry.