Shelby Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3952 Issued in OR

Legal business name

SHELBY CHIROPRACTIC

Doing business as

Shelby Chiropractic

Practice address

561 NE Bellevue Dr Ste 102
Bend, OR 97701

Phone

(541) 330-7080

Fax

(541) 330-7081

NPI assigned

Oct 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Dale Lewis, D.C.NPI 1548593239

Title

Owner/Chiropractor

Phone

(541) 330-7080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shelby Chiropractic Doing business as

Practitioners 2

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

• Kevin Dale Lewis, D.C.

  • Chiropractor
  • Redmond, OR
  • NPI 1548593239
  NPD (past) Authorized official
• Tyge Brandon Shelby, D.C.

  • Chiropractor
  • Bend, OR
  • NPI 1407939234
  NPD (past)

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1992255327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 NE BELLEVUE DR STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 NE BELLEVUE DR STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-330-7080",
            "fax_number": "541-330-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "541-330-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548593239",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelby Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Louise Shawver, PSY.D.
• Laura Shea
• Rita Marie Shearer, RN CDE
• Kamer Sheeter, LMT
• Linda Shekerdemian, M.ED. L.P.C.
• Tyge Brandon Shelby, D.C.
• Sarah Frederick Shelton, MD
• Sheri Ann Shelton, PT
• Jason Shen, MD
• Peter M. Shepard, M.D.

• Chiropractor in Bend, OR
• Providers in Bend, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.