Active NPI
Sean L Shull, DC
- Chiropractor
- Forest, VA
National Provider Identifier
1508982000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 686
- Practice address
- 306 B Enterprise Drive
Forest, VA 24551 - Phone
- (434) 385-6333
- Fax
- (434) 385-6330
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- 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 | 686 | VA | Primary |
Addresses
Primary practice location
306 B Enterprise Drive
Forest, VA 24551
Mailing address
306 B Enterprise Drive
Forest, VA 24551
Phone (434) 385-6333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 686 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accident & Injury Chiropractic Center, Inc. | Chiropractor | Past | Accepting new patients |
| Amherst Family Chiropractic Center, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Forest, VA
- NPI 1629119045
-
- Chiropractor
- Ithaca, NY
- NPI 1932275443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508982000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 B ENTERPRISE DRIVE",
"city": "FOREST",
"state": "VA",
"postal_code": "24551",
"telephone_number": "434-385-6333",
"fax_number": "434-385-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 B ENTERPRISE DRIVE",
"city": "FOREST",
"state": "VA",
"postal_code": "24551",
"telephone_number": "434-385-6333",
"fax_number": "434-385-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULL",
"first_name": "SEAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest, VA
Sources for this page
- 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.