Active NPI
Shelby Shao, DC
- Chiropractor
- Fort Worth, TX
National Provider Identifier
1467287649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15546
- Practice address
- 10761 Founders Way
Fort Worth, TX 76177-1574 - Phone
- (469) 540-7158
- NPI assigned
- Sep 5, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 15546 | TX | Primary |
Addresses
Primary practice location
10761 Founders Way
Fort Worth, TX 76177-1574
Mailing address
4040 N Hall St Apt 211
Dallas, TX 75219-3685
Phone (682) 438-2397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4040 N Hall St
Dallas, TX 75219-5609
539 W Commerce St
Dallas, TX 75208-1953
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15546 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1467287649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 N HALL ST APT 211",
"city": "DALLAS",
"state": "TX",
"postal_code": "752193685",
"telephone_number": "682-438-2397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10761 FOUNDERS WAY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761771574",
"telephone_number": "469-540-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAO",
"first_name": "SHELBY",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "15546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.