Individual provider Active NPI

Trista Dione Shelton, D.C.

  • Chiropractor
  • Anaheim, CA
National Provider Identifier
1679592117
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25992 Issued in CA
Practice address
5632 E la Palma Ave
A
Anaheim, CA 92807-2110
Phone
(714) 779-3130
Fax
(714) 779-3134
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25992 CA Primary

Addresses

Primary practice location

5632 E la Palma Ave
A
Anaheim, CA 92807-2110

Mailing address

5632 E la Palma Ave
A
Anaheim, CA 92807-2110
Phone (714) 779-3130

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC25992CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Angell Chiropractic & Wellness Center, Inc. Chiropractor PastSince Feb 11, 2016 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679592117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5632 E LA PALMA AVE",
            "address_2": "A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072110",
            "telephone_number": "714-779-3130",
            "fax_number": "714-779-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 E LA PALMA AVE",
            "address_2": "A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072110",
            "telephone_number": "714-779-3130",
            "fax_number": "714-779-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "TRISTA",
        "middle_name": "DIONE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

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.

Verify at the official NPI Registry.