Robert Jay Shetlin, DC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

3740151202 Issued in UT

Practice address

9184 Shoshone Lake Dr
West Jordan, UT 84088-5126

Phone

(801) 867-9714

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. R. Jay Shetlin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Medical Rehab

  • Chiropractor
  • Saint George, UT
  • NPI 1497886154
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1508947367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9184 SHOSHONE LAKE DR",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886351",
            "telephone_number": "801-867-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9184 SHOSHONE LAKE DR",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885126",
            "telephone_number": "801-867-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETLIN",
        "first_name": "ROBERT",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "UT",
            "license": "3740151202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R.",
            "last_name": "SHETLIN",
            "middle_name": "JAY",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacey Ann Shaw, PHD, CSW
• Connor Sheffield
• Spencer Shell
• Sheri Meyer O D PLLC
• Joshua Sherwood
• Julie Shiek
• Haley Brooke Shields
• Jacolin Dehler Shifrar, CNM
• Shining Steps ABA of Utah LLC
• Shopko Stores Operating Co LLC

• All providers in West Jordan, UT
• Nutrition Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.