Vernon R Shore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1006 Issued in OH

Practice address

2000 N Dayton Lakeview Rd
New Carlisle, OH 45344-8135

Phone

(937) 845-1000

Fax

(937) 845-1009

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821199795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N DAYTON LAKEVIEW RD",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453448135",
            "telephone_number": "937-845-1000",
            "fax_number": "937-845-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N DAYTON LAKEVIEW RD",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453448135",
            "telephone_number": "937-845-1000",
            "fax_number": "937-845-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "VERNON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "31119120500",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0522563",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Violet L Royster
• Justin Adam Saunders, PHARM D
• Theresa Schmitt, OT/L
• Julie L Schwartz
• Leanna Mae Sexton, DOULA
• Tonya Lynn Smith, DNP, MSN, FNP-BC
• Brooke Snow, MA, LPCC-S
• Angela K Stalder, RN
• Start With One Bite LTD
• Belinda Joyce Stiles, LISW-S

• Chiropractor in New Carlisle, OH
• Providers in New Carlisle, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.