Organization Active NPI

Shelby Bone and Joint Clinic, P.a.

  • Specialist
  • Shelby, NC
National Provider Identifier
1770546293
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on May 6, 2014

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.