Active NPI
Scott Patrick Shales, DC
- Chiropractor
- Webster, NY
National Provider Identifier
1831100858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010098-1
- Practice address
- 853 Ridge Rd
Webster, NY 14580-2550 - Phone
- (585) 671-9210
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X010098-1 | NY | Primary |
Addresses
Primary practice location
853 Ridge Rd
Webster, NY 14580-2550
Mailing address
7626 Whispers LN
Ontario, NY 14519-9388
Phone (315) 524-3423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
853 Ridge Rd
Webster, NY 14580-2550
Phone (585) 671-9210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X010098-1 | NY | MD | Chiropractor |
| 010098 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Debole Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Odell Family Chiropractic PC | Chiropractor | Current | Accepting new patients |
| Debole Chiropractic Webster PLLC | Chiropractor | Current | Accepting new patients |
Locations
6280 Route 96
Ste E
Victor, NY 14564
Phone (585) 433-5680
6280 Route 96
Victor, NY 14564
Phone (585) 433-5680
853 Ridge Rd
Webster, NY 14580
Phone (585) 671-9210
Organizations & group practices 3
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.
-
- Chiropractor
- Webster, NY
- NPI 1952525578
-
- Chiropractor
- Webster, NY
- NPI 1205776630
-
- Chiropractor
- Victor, NY
- NPI 1679106066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831100858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7626 WHISPERS LN",
"city": "ONTARIO",
"state": "NY",
"postal_code": "145199388",
"telephone_number": "315-524-3423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 RIDGE RD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145802550",
"telephone_number": "585-671-9210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHALES",
"first_name": "SCOTT",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010098-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, NY
Sources for this page
- 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.