Kenneth Shelton, DC, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1163 Issued in OH

Legal business name

KENNETH SHELTON, DC, INC

Doing business as

Rossford Chiropractic Center

Practice address

1114 Dixie Hwy
Rossford, OH 43460-1337

Phone

(419) 666-1114

Fax

(419) 666-6433

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Stacy L Frusher

Title

Office Manager

Phone

(419) 666-1114

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rossford Chiropractic Center Doing business as

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437361177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 DIXIE HWY",
            "city": "ROSSFORD",
            "state": "OH",
            "postal_code": "434601337",
            "telephone_number": "419-666-1114",
            "fax_number": "419-666-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 DIXIE HWY",
            "city": "ROSSFORD",
            "state": "OH",
            "postal_code": "434601337",
            "telephone_number": "419-666-1114",
            "fax_number": "419-666-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH SHELTON, DC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRUSHER",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-666-1114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU WORKERS COMP SSN",
            "identifier": "293447595-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rossford Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Rossford, OH
• Providers in Rossford, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.