Derek Michael Shrout, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002277A Issued in IN

Practice address

14555B Hazel Dell Pkwy
Suite 130
Carmel, IN 46033-9805

Phone

(317) 817-9355

Fax

(317) 817-9356

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shrout Family Chiropractic PC

  • Chiropractor
  • Carmel, IN
  • NPI 1821282559
  NPD (past) Authorized official
• Shrout Family Chiropractic

  • Chiropractor
  • Carmel, IN
  • NPI 1063595908
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1912010067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555B HAZEL DELL PKWY",
            "address_2": "SUITE 130",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339805",
            "telephone_number": "317-817-9355",
            "fax_number": "317-817-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555B HAZEL DELL PKWY",
            "address_2": "SUITE 130",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339805",
            "telephone_number": "317-817-9355",
            "fax_number": "317-817-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROUT",
        "first_name": "DEREK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002277A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vera A Shreder, MD
• Michael Samuel Shrift, MD
• Loralie Shroeder
• Shrout Family Chiropractic
• Shrout Family Chiropractic PC
• Melissa Fern Shrout, D.C.
• Trace Aaron Shroyer, PA-C
• Mae Shu
• Raquel Shuff
• Zina Shulman, PHARMD

• Chiropractor in Carmel, IN
• Providers in Carmel, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.