Organization Active NPI

Shealer Chiropractic, P.C.

  • Chiropractor
  • Monroeville, PA
National Provider Identifier
1831390640
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008764 Issued in PA
Legal business name
SHEALER CHIROPRACTIC, P.C.
Practice address
4303 Northern Pike
Monroeville, PA 15146-2807
Phone
(412) 823-5710
Fax
(412) 823-5709
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Dr. Brent W Shealer, D.C.NPI 1861543357
Title
President
Phone
(412) 823-5710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC008764 PA Primary

Addresses

Primary practice location

4303 Northern Pike
Monroeville, PA 15146-2807

Mailing address

400 Penn Center Blvd
Suite 637
Pittsburgh, PA 15235-5613
Phone (412) 823-5710

Other practice location 1

400 Penn Center Blvd
Suite 637
Pittsburgh, PA 15235-5613
Phone (412) 823-5710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070716000655 PA Part B Supplier - Clinic/Group Practice 7618077900 Receives reassigned benefits from 1 practitioner
Practice locations: Monroeville, PA

National Provider Directory

National Provider Directory

Locations

4303 Northern Pike
Monroeville, PA 15146
Phone (412) 823-5710

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1831390640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PENN CENTER BLVD",
            "address_2": "SUITE 637",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355613",
            "telephone_number": "412-823-5710",
            "fax_number": "412-823-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 NORTHERN PIKE",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462807",
            "telephone_number": "412-823-5710",
            "fax_number": "412-823-5709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Penn Center Blvd",
            "address_2": "Suite 637",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152355613",
            "country_code": "US",
            "telephone_number": "412-823-5710",
            "fax_number": "412-823-5709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHEALER CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "SHEALER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-823-5710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.