Individual provider Active NPI

Seneca Shayne Pelton, NCTMB, LLCC

  • Massage Therapist
  • Arvada, CO
National Provider Identifier
1730340084
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
7850 Vance Dr
Suite 260
Arvada, CO 80003-2118
Phone
(303) 487-8423
Fax
(303) 487-8420
NPI assigned
Jun 19, 2008
Last updated
Jun 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X CO Primary

Addresses

Primary practice location

7850 Vance Dr
Suite 260
Arvada, CO 80003-2118

Mailing address

7850 Vance Dr
Suite 260
Arvada, CO 80003-2118
Phone (303) 487-8423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1730340084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 VANCE DR",
            "address_2": "SUITE 260",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032118",
            "telephone_number": "303-487-8423",
            "fax_number": "303-487-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 VANCE DR",
            "address_2": "SUITE 260",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032118",
            "telephone_number": "303-487-8423",
            "fax_number": "303-487-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTON",
        "first_name": "SENECA",
        "middle_name": "SHAYNE",
        "name_prefix": "Mr.",
        "credential": "NCTMB, LLCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.