Dean A Shoup, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

33.019427 S Issued in OH

Practice address

2766 Mack Rd
Fairfield, OH 45014-5129

Phone

(513) 942-2500

Fax

(513) 942-7999

NPI assigned

May 29, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Cartwright Chiropractic

  • Chiropractor
  • Fairfield, OH
  • NPI 1134303647
  NPD (past)
• Cartwright Chiropractic Inc.

  • Chiropractor
  • Fairfield, OH
  • NPI 1659390839
  NPD (past)

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1689934317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 KEYRIDGE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402221",
            "telephone_number": "513-680-8654",
            "fax_number": "513-851-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 MACK RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145129",
            "telephone_number": "513-942-2500",
            "fax_number": "513-942-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUP",
        "first_name": "DEAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OH",
            "license": "33.019427 S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL BOARD OF OHIO",
            "identifier": "33.019427  S",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominque Lacatherine Shields, APRN CNP
• Jaime Shields, RN
• Shifaa Serenity Therapy Solutions
• Brian Short, DPM
• Jessica Renee Short
• Mohammed Idrees Hasan Siddiqui, D.O.
• Andrew Donald Siegler, LPCC
• Rebecca Sievers, LPCC
• Emily Marie Sillies, RD, LD
• Silver Family Care Center LLC

• Mechanotherapist in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Mechanotherapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.