Shelley Booker, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8093 Issued in TX

Practice address

4041 W Wheatland Rd
#156, PMB 487
Dallas, TX 75237-4063

Phone

(214) 986-6096

Fax

(866) 670-9016

NPI assigned

Mar 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Professional Emergency Service Association of Desoto

  • Occupational Medicine Clinic/Center
  • Desoto, TX
  • NPI 1114072550
  NPD (past)
• Professional Emergency Service Association of Irving

  • Occupational Medicine Clinic/Center
  • Irving, TX
  • NPI 1669465159
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477683555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 W WHEATLAND RD",
            "address_2": "#156, PMB 487",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374063",
            "telephone_number": "214-986-6096",
            "fax_number": "866-670-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 W WHEATLAND RD",
            "address_2": "#156, PMB 487",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374063",
            "telephone_number": "214-986-6096",
            "fax_number": "866-670-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "SHELLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Beth Bontempo, PH.D.
• Codie Bontz, DDS, MS
• Andrea Bonzell
• Ismail Boodhwani Jr., FNP-C
• Lueretha Yvonne Booker, MA
• Vance Wayne Booker Jr., O.D.
• Carol Boone, RN
• Courtney Boone, PA-C
• David W Boone, MD
• Jacquelin Boone, LCSW

• Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.