Active NPI
Short Chiropractic Inc
- Chiropractor
- Barboursville, WV
National Provider Identifier
1952487563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 545
- Legal business name
- SHORT CHIROPRACTIC INC
- Practice address
- 99 Cracker Barrel Drive
Suite 200
Barboursville, WV 25504-1622 - Phone
- (304) 733-4616
- Fax
- (304) 733-4818
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brett A Short, D.C.
- Title
- DC/Owner
- Phone
- (304) 733-4616
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 545 | WV | Primary |
Addresses
Primary practice location
99 Cracker Barrel Drive
Suite 200
Barboursville, WV 25504-1622
Mailing address
Suite 200 99 Cracker Barrel Drive
Barboursville, WV 25504-1622
Phone (304) 733-4616
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538197702 | Other | WV | DR SHORT NPI INDIVIDUAL # |
| 545 | Other | WV | DR SHORT LICENSE # |
| 1164162988 | Other | LUKE SHORT, NPI | |
| BC/BS | Other | WV | BCBS # |
| 1059296 | Other | WV | DR SHORT WC ID |
| 350047718 | Other | WV | DR SHORT RAILROAD # |
| 4342024 | Other | WV | AETNA # FOR DR SHORT |
| 000000223716 | Other | WV | SHORT ANTHEM # |
| 0131767000 | Medicaid | WV | |
| 1065 | Other | WV | LUKE SHORT,D.C. |
| 3810005988 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1538197702
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733097600000",
"number": "1952487563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SUITE 200 99 CRACKER BARREL DRIVE",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255041622",
"telephone_number": "304-733-4616",
"fax_number": "304-733-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 CRACKER BARREL DRIVE",
"address_2": "SUITE 200",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255041622",
"telephone_number": "304-733-4616",
"fax_number": "304-733-4818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHORT CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A",
"authorized_official_last_name": "SHORT",
"authorized_official_first_name": "BRETT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DC/OWNER",
"authorized_official_telephone_number": "304-733-4616",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WV",
"license": "545",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR SHORT NPI INDIVIDUAL #",
"identifier": "1538197702",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR SHORT LICENSE #",
"identifier": "545",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LUKE SHORT, NPI",
"identifier": "1164162988",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS #",
"identifier": "BC/BS",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR SHORT WC ID",
"identifier": "1059296",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR SHORT RAILROAD #",
"identifier": "350047718",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA # FOR DR SHORT",
"identifier": "4342024",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHORT ANTHEM #",
"identifier": "000000223716",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0131767000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LUKE SHORT,D.C.",
"identifier": "1065",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810005988",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barboursville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.