Active NPI
Karen Shelby Hodish, D.C.
- Chiropractor
- Lake Worth, FL
National Provider Identifier
1629031265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0003921
- Practice address
- 7362 Lake Worth Rd
Lake Worth, FL 33467-2529 - Phone
- (561) 964-9331
- Fax
- (561) 966-5098
- NPI assigned
- Apr 6, 2006
- Last updated
- Aug 26, 2008
- 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 | CH0003921 | FL | Primary |
Addresses
Primary practice location
7362 Lake Worth Rd
Lake Worth, FL 33467-2529
Mailing address
940 Bayberry Point Dr
Plantation, FL 33324-3507
Phone (954) 916-8778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381003800 | Medicaid | FL |
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 |
|---|---|---|---|
| CH0003921 | FL | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Chiropractor
- Lake Worth, FL
- NPI 1740243310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1629031265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 BAYBERRY POINT DR",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243507",
"telephone_number": "954-916-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7362 LAKE WORTH RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334672529",
"telephone_number": "561-964-9331",
"fax_number": "561-966-5098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELBY HODISH",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0003921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381003800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.