Individual provider Active NPI

Shelby N Tweto, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1790739043
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5155 Issued in OR
Practice address
1615 NW 23Rd Ave Ste 2
Portland, OR 97210-2563
Phone
(503) 223-8719
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 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 5155 OR Primary

Addresses

Primary practice location

1615 NW 23Rd Ave Ste 2
Portland, OR 97210-2563

Mailing address

1875 SE Exeter Dr
Portland, OR 97202-9009
Phone (406) 529-4398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902002795 OR Practitioner - ChiropracticPractitioner - Pain ManagementPractitioner - Preventive Medicine 5890705057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Pain Management, Preventive Medicine
Education
Logan College of Chiropractic, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Kelsall Chiropractic Clinic P CGroup PAC ID 9537177803, 2 clinicians

Practice addresses (Care Compare)

1615 NW 23Rd Ave
Suite 2
Portland, OR 97210-2563
Phone (503) 223-8719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1123MTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsall Chiropractic Clinic PC CurrentSince Jul 26, 2022 Accepting new patients

Locations

1615 NW 23rd Ave
Ste 2
Portland, OR 97210
Phone (503) 223-8719

Organizations & group practices 1

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1790739043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 SE EXETER DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972029009",
            "telephone_number": "406-529-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 NW 23RD AVE STE 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102563",
            "telephone_number": "503-223-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWETO",
        "first_name": "SHELBY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.