Active NPI
George Franklin Shore, D.C
- Chiropractor
- Saint Paris, OH
National Provider Identifier
1437280427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2010
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0229569 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harts Automated Medical Services Inc | Chiropractor | Past | 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.
-
dba Dialton Healthcare
- Chiropractor
- New Carlisle, OH
- NPI 1689147050
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.