Active NPI
Shelby Bone and Joint Clinic, P.a.
- Specialist
- Shelby, NC
National Provider Identifier
1770546293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SHELBY BONE AND JOINT CLINIC, P.A.
- Practice address
- 807 Schenck St Ste 2
Shelby, NC 28150-5123 - Phone
- (704) 482-7311
- Fax
- (704) 487-0339
- NPI assigned
- Apr 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yves Boudreau, MD
- Title
- President
- Phone
- (704) 482-7311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NC | Primary |
Addresses
Primary practice location
807 Schenck St Ste 2
Shelby, NC 28150-5123
Mailing address
807 Schenck St, Suite 2
Shelby, NC 28150-3933
Phone (704) 482-7311
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399334400000",
"number": "1770546293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 SCHENCK ST, SUITE 2",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503933",
"telephone_number": "704-482-7311",
"fax_number": "704-487-0339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 SCHENCK ST STE 2",
"city": "SHELBY",
"state": "NC",
"postal_code": "281505123",
"telephone_number": "704-482-7311",
"fax_number": "704-487-0339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELBY BONE AND JOINT CLINIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-07",
"last_updated": "2014-05-06",
"status": "A",
"authorized_official_last_name": "BOUDREAU",
"authorized_official_first_name": "YVES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-482-7311",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.