Individual provider Active NPI

Shelbi Lorene Wilson, DC

  • Chiropractor
  • Denison, TX
National Provider Identifier
1780194803
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13602 Issued in TX
Practice address
3230 S Eisenhower Pkwy
Denison, TX 75020-7818
Phone
(903) 465-1881
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13602 TX Primary

Addresses

Primary practice location

3230 S Eisenhower Pkwy
Denison, TX 75020-7818

Mailing address

3230 S Eisenhower Pkwy
Denison, TX 75020-7818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180425002410 TX Practitioner - Chiropractic 7618231739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knight Family Chiropractic of Anna LLCGroup PAC ID 7416203856, 2 clinicians

Practice addresses (Care Compare)

1108 W White St
Suite 100
Anna, TX 75409-5503
Phone (469) 840-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Knight Family Chiropractic of Anna, LLC Chiropractor CurrentSince Jun 1, 2018 Accepting new patients
Ryan L. Knight, Inc. Chiropractor CurrentSince Apr 1, 2018 Accepting new patients

Locations

1108 W White St
Ste 100
Anna, TX 75409
Phone (469) 840-4111

3230 S Eisenhower Pkwy
Denison, TX 75020
Phone (903) 465-1881

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": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1780194803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 S EISENHOWER PKWY",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750207818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 S EISENHOWER PKWY",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750207818",
            "telephone_number": "903-465-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHELBI",
        "middle_name": "LORENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.