Shelby Jo Farrell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3089 Issued in OH

Practice address

3809 Wilmington Pike
Ste100
Kettering, OH 45429-5096

Phone

(937) 293-0760

Fax

(937) 293-0763

NPI assigned

Nov 7, 2006

Sex

Female

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)

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.

• Beavercreek Chiropractic Clinic Inc

  • Chiropractor
  • Beavercreek, OH
  • NPI 1073713533
  NPD (past)
• Laser Spine Institute, LLC

  • Specialist
  • Tampa, FL
  • NPI 1265483895
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710056247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 WILMINGTON PIKE",
            "address_2": "STE100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295096",
            "telephone_number": "937-293-0760",
            "fax_number": "937-293-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 WILMINGTON PIKE",
            "address_2": "STE100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295096",
            "telephone_number": "937-293-0760",
            "fax_number": "937-293-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "SHELBY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000325035",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Harold Farney, DDS
• Samantha Farrar
• Farrell Chiropractic Inc
• Chelsea B Farrell, CRNA
• John T Farrell
• Shahzad Rahim Farukhi, MD
• Raymond Fasano
• Huda Fatima, MD
• Aaron Kyle Faucett, ATC
• John F Fellrath III, DDS

• Chiropractor in Kettering, OH
• Providers in Kettering, OH by specialty
• Chiropractor in Ohio

• 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.