Shelton Grey Todd, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7268 Issued in MN

Practice address

18425 Dodd Blvd
Lakeville, MN 55044-9019

Phone

(952) 232-1330

NPI assigned

Nov 17, 2022

Last updated

Dec 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MT, MN2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stillwater Spine & Sports Center, Inc.

  • Physical Therapy Clinic/Center
  • Kalispell, MT
  • NPI 1831370378
  Medicare reassignment NPD

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1689383739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 DODD BLVD",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449019",
            "telephone_number": "952-232-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 DODD BLVD",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449019",
            "telephone_number": "952-232-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "SHELTON",
        "middle_name": "GREY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-17",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7268",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-8000",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6235-12",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Thompson
• John Joseph Thompson, MS
• Thooft Consulting (Authentic Living Therapy by Amanda)
• Eneyew Tilahun, MD
• Kehly Brianne Todd, PHARMD
• Lukas Tollefson, PHARMD
• Total Care Assisted Living Services
• Total Renal Care, Inc. (Lakeville Dialysis)
• James Alex Trang
• Anne Nathanaelle Tristant

• Chiropractor in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.