Shelly Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1497 Issued in LA

Legal business name

SHELLY CHIROPRACTIC LLC

Practice address

17534 Old Jefferson Hwy
Suite C2
Prairieville, LA 70769-3978

Phone

(985) 400-1633

NPI assigned

Feb 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Joseph Shelly, D. C.NPI 1912142159

Title

Owner/Partner

Phone

(985) 400-1633

Specialties & licenses 1

Addresses

Other names 1

• Peformance Chiropractic and Health Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Joseph Shelly, D.C.

  • Chiropractor
  • Prairieville, LA
  • NPI 1912142159
  Medicare reassignment NPD Authorized official
• Kurt Edwin Dichiara, DC

  • Chiropractor
  • Hammond, LA
  • NPI 1932684701
  NPD (past)
• Derek Paul Bruner, D.C.

  • Chiropractor
  • Keller, TX
  • NPI 1952718249
  NPD (past)

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1679965248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17534 OLD JEFFERSON HWY",
            "address_2": "SUITE C2",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693978",
            "telephone_number": "985-400-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17534 OLD JEFFERSON HWY",
            "address_2": "SUITE C2",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693978",
            "telephone_number": "985-400-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "SHELLY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "985-400-1633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peformance Chiropractic and Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Semeko Cox, LLC
• Kishan Shah, PT
• Candace Sharper, LPC
• Angela L Shaw, PNP
• Desiree Shaw, MS, PLPC
• Matthew Joseph Shelly, D.C.
• Simone Elloie Shelton, ED. D
• Samantha Simone Sheppard
• Emily Shockey, LMSW
• Haley Shows

• Chiropractor in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.