Joshua James Shideler, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13477 Issued in FL

Practice address

56 Spires LN
Unite 13a
Santa Rosa Beach, FL 32459

Phone

(850) 830-5544

Fax

(888) 791-3763

NPI assigned

Jan 28, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Fremont Health Solutions LLC

  • Independent Medical Examiner Chiropractor
  • Santa Rosa Beach, FL
  • NPI 1982126181
  NPD

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1821336728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 SPIRES LN",
            "address_2": "UNITE 13A",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32459",
            "telephone_number": "850-830-5544",
            "fax_number": "888-791-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 SPIRES LN",
            "address_2": "UNITE 13A",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32459",
            "telephone_number": "850-830-5544",
            "fax_number": "888-791-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIDELER",
        "first_name": "JOSHUA",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-28",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60330707",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Physical Therapy Holdings, Inc.
• William O Senn
• Lucy Garcia Sennett, M.A., L.M.H.C.
• Jennifer Lynn Serley, RBT
• Tonia Shatzel, DVM
• Ashley Shirk, DPT
• Donna Simmons, LMHC
• Morgan Sipes-Burgess, PT, DPT
• Randi Ann Slaughter
• Jennifer Sloboda, APRN

• Chiropractor in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.