DR. JARED MARK SHELTON (NPI# 1457537862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457537862 |
| Entity Type | Individual |
| Full Name | DR. JARED MARK SHELTON |
| Credential | DC, BS, CSCS |
| Practice Address |
45 W Center St Soda Springs ID 83276-1530 |
| Practice Telephone | 2085474518 |
| Practice Fax Number | 2085474555 |
| Mailing Telephone | 2085474518 |
| Mailing Fax Number | 2085474555 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | CHIA-1284 | ID | Chiropractic Providers |
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHIA-1284 | ID | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | MEDICARE INDIVIDUAL PTAN | 1673568 | 01 |
| ID | 807952000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891968228 | Jared Michael Shelton | Physician Assistant | 944 Hazel Ct Sw, Lilburn, GA 30047-2038 | 2008-04-07 |
| 1871889782 | Jared Michael Shelton | Dentist | 800 Rose St, D508 College of Dentistry Division of Oral Surgery, Lexington, KY 40536-0292 | 2011-06-20 |
| Street Address |
45 W CENTER ST |
| City | SODA SPRINGS |
| State | ID |
| Zip Code | 83276-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760617765 | Bear River Chiropractic, LLC | Chiropractor | 45 W Center St, Soda Springs, ID 83276-1530 | 2009-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811390248 | Terry Lee Christensen | Physical Therapy Assistant | 279 E. 3rd N., Soda Springs, ID 83276 | 2014-09-30 |
| 1285049387 | Matthew F Kunz | Dentist | 180 S. Main Street, Soda Springs, ID 83276 | 2014-06-26 |
| 1801086012 | Caribou Memorial Hospital | Specialist | 300 South 3rd West, Soda Springs, ID 83276 | 2007-07-25 |
| 1386681427 | Eron J Evans | Dentist | 390 S 3rd W, Mountain View Dental, Soda Springs, ID 83276 | 2006-05-31 |
| 1154310373 | Jerry H Walker | Dentist | 390 South 3rd West, Soda Springs, ID 83276 | 2005-10-20 |
| 1184022105 | Inner Light Counseling, LLC | Social Worker | 61 E 1st S, Soda Springs, ID 83276 | 2014-12-08 |
| 1710158886 | Mountain View Dental Clinic | Clinic/Center | 390 South 3rd West, Soda Springs, ID 83276 | 2008-03-17 |
| 1730240375 | Sharman Kay Snow | Social Worker | 160 N 1st E, Soda Springs, ID 83276-1203 | 2006-12-13 |
| 1609245612 | Craig Harden Richardson | Specialist/Technologist | 366 N 2nd E, Soda Springs, ID 83276-1218 | 2015-09-20 |
| 1417370388 | Saxton Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 269 N 3rd E, Soda Springs, ID 83276-1226 | 2014-01-29 |
| Find all providers in zip 83276 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164889226 | Summit Spine and Sport Chiropractic, Pllc | Chiropractor | 237 N 2nd E, Suite 106, Rexburg, ID 83440-4977 | 2016-01-20 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1467740068 | Health Specialties | Chiropractor | 2484 N Stokesberry Pl Ste 100, Meridian, ID 83646-6083 | 2011-07-16 |
| 1750523536 | Joel Theodore Jaureguito | Chiropractor | 1352 Troy Rd, Moscow, ID 83843-3995 | 2009-03-25 |
| 1568608396 | Gallagher Chiropractic PC | Chiropractor | 520 S Meridian Rd Ste 50, Meridian, ID 83642-4533 | 2008-12-29 |
| 1003930967 | Gary D Musgrave | Chiropractor | 3314 N. Cole Rd., Boise, ID 83704 | 2007-03-18 |
| 1881773992 | Thomas Dennis Hickey | Chiropractor | 376 S Latah St, Boise, ID 83705-1539 | 2006-11-02 |
| 1285658302 | Blake Louis Howard | Chiropractor | 4700 N Cloverdale Rd Ste 103, Boise, ID 83713-1067 | 2006-07-26 |
| 1881610806 | Steven Paul Borders | Chiropractor | 405 E. Best Ave #104, Coeur D Alene, ID 83814 | 2006-07-14 |
| 1386682862 | Paul Kendell Bowers | Chiropractor | 1133 Call Pl Ste A, Pocatello, ID 83201-3076 | 2006-06-04 |
| Find all providers with the same taxonomy | ||||
| City | SODA SPRINGS |
| Zip Code | 83276 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.