Shane Bethea DC PC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9250 Issued in FL

Legal business name

SHANE BETHEA DC PC INC

Practice address

100 Plantation Rd
Perry, FL 32348-6000

Phone

(850) 584-6000

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wesley Shane Bethea, D.C.

Title

Owner

Phone

(850) 584-6000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1932396033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PLANTATION RD",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323486000",
            "telephone_number": "850-584-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PLANTATION RD",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323486000",
            "telephone_number": "850-584-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE BETHEA DC PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "BETHEA",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-584-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Jean Scavelli, RPH
• Donna M Schippers, D.O.
• Diane A Schlick, DO
• Sharon Agnes Schlick, PA-C
• Nita Smith Scott, LMFT
• Sara K Shaw
• Tiffany Shiver, IBCLC
• Amber Lee Slaughter, APRN-C,FNP
• Latricia Slaughter
• Abdul Hamid Sofi, M.D.

• Chiropractor in Perry, FL
• Providers in Perry, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.