Organization Active NPI

Shoreline Chiropractic LLC

  • Chiropractor
  • Palm Coast, FL
National Provider Identifier
1952032013
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SHORELINE CHIROPRACTIC LLC
Practice address
4879 Palm Coast Pkwy NW Unit 2
Palm Coast, FL 32137-3673
Phone
(386) 225-6134
NPI assigned
Jun 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Authorized official

Name
Dr. Bryan Schuerlein, DCNPI 1447618962
Title
Owner
Phone
(518) 538-1300

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 Primary

Addresses

Primary practice location

4879 Palm Coast Pkwy NW Unit 2
Palm Coast, FL 32137-3673

Mailing address

4879 Palm Coast Pkwy NW Unit 2
Palm Coast, FL 32137-3673
Phone (386) 225-6134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220725003458 FL Part B Supplier - Clinic/Group Practice 5395126148 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Coast, FL

National Provider Directory

National Provider Directory

Locations

4875 Palm Coast Pkwy NW
Unit 2
Palm Coast, FL 32137
Phone (386) 225-6134

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": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1952032013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4879 PALM COAST PKWY NW UNIT 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373673",
            "telephone_number": "386-225-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4879 PALM COAST PKWY NW UNIT 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373673",
            "telephone_number": "386-225-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "SCHUERLEIN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-538-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.