Shull Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SHULL CHIROPRACTIC CLINIC LLC

Practice address

202 S Indiana St
Nevada, MO 64772-3978

Phone

(417) 684-3635

NPI assigned

Apr 22, 2020

Organization subpart

No

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

Authorized official

Name

Bradford L Shull, D.C.NPI 1457357840

Title

Owner, Sole Member

Phone

(417) 684-3635

Specialties & licenses 1

Addresses

Other names 1

• SHULL CHIROPRACTIC CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradford Lewis Shull, D.C.

  • Chiropractor
  • Nevada, MO
  • NPI 1457357840
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1972123685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S INDIANA ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723978",
            "telephone_number": "417-684-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S INDIANA ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723978",
            "telephone_number": "417-684-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHULL CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "SHULL",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, SOLE MEMBER",
        "authorized_official_telephone_number": "417-684-3635",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHULL CHIROPRACTIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clara Michelle Lynn Sands, LCSW
• Maryallie B. Scott, LP
• Lyndsey Seested, FNP-C
• Meggen E Sensel, LPC
• Lewis Shilane, D.O.
• Bradford Lewis Shull, D.C.
• Silver Oak Senior Living Management, LC
• Silver Oak Senior Living Management, LC
• Shannon B Simmons, MS, LPC
• Samantha K Simpson

• Chiropractor in Nevada, MO
• Providers in Nevada, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.