Individual provider Active NPI

Shawn Labelle, DC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1740259092
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1284 Issued in SC
Practice address
1152B Haywood Rd
Greenville, SC 29615-2289
Phone
(864) 234-5678
Fax
(864) 286-9865
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1284 SC Primary

Addresses

Primary practice location

1152B Haywood Rd
Greenville, SC 29615-2289

Mailing address

1152B Haywood Rd
Greenville, SC 29615-2289
Phone (864) 234-5678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000249 SC Practitioner - Chiropractic 3870506629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1152 B Haywood Rd
Greenville, SC 29615-2289

1152 Haywood Rd B
Greenville, SC 29615-2289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1284SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Combs Chiropractic and Wellness, P.C. Chiropractor CurrentSince Mar 12, 1990 Accepting new patients

Locations

1152 Haywood Rd
#B
Greenville, SC 29615

1152B Haywood Rd
Greenville, SC 29615
Phone (864) 234-5678

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740259092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152B HAYWOOD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152289",
            "telephone_number": "864-234-5678",
            "fax_number": "864-286-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152B HAYWOOD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152289",
            "telephone_number": "864-234-5678",
            "fax_number": "864-286-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABELLE",
        "first_name": "SHAWN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • 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.
  • 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.