Individual provider Active NPI

George Franklin Shore, D.C

  • Chiropractor
  • Saint Paris, OH
National Provider Identifier
1437280427
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2010 Issued in OH
Practice address
400 W Main St
Saint Paris, OH 43072-9749
Phone
(937) 663-0669
Fax
(888) 244-1959
NPI assigned
Mar 8, 2007
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2010 OH Primary

Addresses

Primary practice location

400 W Main St
Saint Paris, OH 43072-9749

Mailing address

PO Box 78
Saint Paris, OH 43072-0078
Phone (937) 663-0669

Other practice location 1

1701 Addison-Carlisle Rd
New Carlisle, OH 45344
Phone (937) 663-0669

Other identifiers 1

IdentifierTypeStateIssuer
0229569MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110214000625 OH Practitioner - Chiropractic 1355521980 Practice locations: Saint Paris, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 W Main St
Saint Paris, OH 43072-9749
Phone (937) 663-0669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2010OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harts Automated Medical Services Inc Chiropractor PastSince Mar 22, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1437280427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78",
            "city": "SAINT PARIS",
            "state": "OH",
            "postal_code": "430720078",
            "telephone_number": "937-663-0669",
            "fax_number": "888-244-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "city": "SAINT PARIS",
            "state": "OH",
            "postal_code": "430729749",
            "telephone_number": "937-663-0669",
            "fax_number": "888-244-1959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Addison-Carlisle Rd",
            "address_purpose": "LOCATION",
            "city": "New Carlisle",
            "state": "OH",
            "postal_code": "45344",
            "country_code": "US",
            "telephone_number": "937-663-0669",
            "fax_number": "888-244-1959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORE",
        "first_name": "GEORGE",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0229569",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paris, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.