Individual provider Active NPI

Gabriel Shelton, DC

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1962905075
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2025005541 Issued in MO
Practice address
3934 Union Rd
Saint Louis, MO 63125-4321
Phone
(314) 620-5350
NPI assigned
Mar 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2025005541 MO Primary

Addresses

Primary practice location

3934 Union Rd
Saint Louis, MO 63125-4321

Mailing address

3934 Union Rd
Saint Louis, MO 63125-4321
Phone (314) 620-5350

Other identifiers 1

IdentifierTypeStateIssuer
2025005541OtherMOMISSOURI BOARD OF CHIROPRACTIC EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025005541MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fit First Chiropractic P.C. Chiropractor Current Accepting new patients

Locations

3934 Union Rd
Saint Louis, MO 63125
Phone (314) 620-5350

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1962905075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 UNION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631254321",
            "telephone_number": "314-620-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 UNION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631254321",
            "telephone_number": "314-620-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2025005541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "2025005541",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.