Shelton Sports & Spine, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SHELTON SPORTS & SPINE, PC

Practice address

4 Armstrong Rd
Shelton, CT 06484-4721

Phone

(203) 842-8631

NPI assigned

May 7, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jason Queiros, DC

Title

President

Phone

(203) 842-8631

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1447815253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VALLEYVIEW PL",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068243151",
            "telephone_number": "203-803-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ARMSTRONG RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844721",
            "telephone_number": "203-842-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON SPORTS & SPINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "QUEIROS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-842-8631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelton Lakes Health Care Center, Inc
• Shelton Pediatrics
• Shelton Pharmacy Incorporated
• Shelton Public School System
• Shelton Restorative Health
• Sherlyne Dieudonne LPC LLC
• Carly Shomsky, OTR
• Dalia H Shubber, DDS
• Nour Dhiaa Shubber, DDS
• Amsa Shoaib Siddiqui, PHARMACIST

• Chiropractor in Shelton, CT
• Providers in Shelton, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.