Organization Active NPI

R.a. Shelton, Inc.

  • Chiropractor
  • Normandy Park, WA
National Provider Identifier
1942219456
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034019 Issued in WA
Legal business name
R.A. SHELTON, INC.
Practice address
19901 1St Ave S # 407
Normandy Park, WA 98148-2403
Phone
(206) 870-6177
Fax
(206) 870-6176
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Mr. Roger Alan Shelton, D.C.NPI 1588696645
Title
Owner
Phone
(206) 870-6177

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 CH00034019 WA Primary

Addresses

Primary practice location

19901 1St Ave S # 407
Normandy Park, WA 98148-2403

Mailing address

19901 1St Ave S # 407
Normandy Park, WA 98148-2403
Phone (206) 870-6177

Other names 1

  • Normandy Park Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

19901 1st Ave S
Ste 407
Normandy Park, WA 98148
Phone (206) 870-6177

19655 1st Ave S
Ste 205
Normandy Park, WA 98148
Phone (206) 429-2922

19901 1st Ave S
Normandy Park, WA 98148
Phone (206) 870-6177

Practitioners & affiliated clinicians

Practitioners 2

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1942219456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19901 1ST AVE S # 407",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482403",
            "telephone_number": "206-870-6177",
            "fax_number": "206-870-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19901 1ST AVE S # 407",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482403",
            "telephone_number": "206-870-6177",
            "fax_number": "206-870-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.A. SHELTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-870-6177",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Normandy Park Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Normandy Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.