Scott Oliver Shelden, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60074572 Issued in WA

Practice address

919 Highland Ave
Clarkston, WA 99403-2762

Phone

(509) 758-9214

Fax

(509) 758-9267

NPI assigned

Mar 31, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Charles C Dwyer DC PCGroup PAC ID 9931251998, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott@dcc0005.direct.chirotouch.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles C Dwyer DC PC

  • Radiology Chiropractor
  • Clarkston, WA
  • NPI 1114168002
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1760624183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HIGHLAND AVE",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032762",
            "telephone_number": "509-758-9214",
            "fax_number": "509-758-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 HIGHLAND AVE",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032762",
            "telephone_number": "509-758-9214",
            "fax_number": "509-758-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDEN",
        "first_name": "SCOTT",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60074572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandace Seely
• Seker R Medavarapu (Clearwater Braces)
• Leah Severson, RDN, CSR, LD, CD
• Munir Wesley Shah, MA
• Kody Lee Sheets, LDO
• Carolyn Jean Shoemaker, PA-C
• Chase Patrick Simpson, CRNA
• Dorothea Skalicky, BS, CDP
• Michelle Lynn Skinner, RD CD
• Mickey Dean Smith, RDH

• Chiropractor in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.