NPIMap

Individual provider Active NPI

Melissa Fern Shrout, D.C.

  • Chiropractor
  • Carmel, IN
National Provider Identifier
1770699118
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002278A Issued in IN
Practice address
13170 Hazel Dell Parkway
Suite 120
Carmel, IN 46033
Phone
(317) 817-9355
Fax
(317) 817-9356
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002278A IN Primary

Addresses

Primary practice location

13170 Hazel Dell Parkway
Suite 120
Carmel, IN 46033

Mailing address

13170 Hazel Dell Pkwy
Suite 120
Carmel, IN 46033-8528
Phone (317) 817-9355

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002278AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shrout Family Chiropractic PC Chiropractor Past Accepting new patients
Shrout Family Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1770699118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13170 HAZEL DELL PKWY",
            "address_2": "SUITE 120",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338528",
            "telephone_number": "317-817-9355",
            "fax_number": "317-817-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13170 HAZEL DELL PARKWAY",
            "address_2": "SUITE 120",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46033",
            "telephone_number": "317-817-9355",
            "fax_number": "317-817-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROUT",
        "first_name": "MELISSA",
        "middle_name": "FERN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002278A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.