Active NPI
Stephen Jay Short Jr., D.C.
- Chiropractor
- Vero Beach, FL
National Provider Identifier
1720279227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7742
- Practice address
- 3675 20TH St
Suite B
Vero Beach, FL 32960-2480 - Phone
- (772) 569-6402
- Fax
- (772) 569-1955
- NPI assigned
- Aug 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH7742 | FL | Primary |
Addresses
Primary practice location
3675 20TH St
Suite B
Vero Beach, FL 32960-2480
Mailing address
3675 20TH St
Suite B
Vero Beach, FL 32960-2480
Phone (772) 569-6402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130419000488 | FL | Practitioner - Chiropractic | 8022254937 | Practice locations: Vero Beach, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3850 20TH St
Suite 3
Vero Beach, FL 32960-2472
Phone (772) 569-6402
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH7742 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186531200000",
"number": "1720279227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3675 20TH ST",
"address_2": "SUITE B",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329602480",
"telephone_number": "772-569-6402",
"fax_number": "772-569-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3675 20TH ST",
"address_2": "SUITE B",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329602480",
"telephone_number": "772-569-6402",
"fax_number": "772-569-1955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "STEPHEN",
"middle_name": "JAY",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.