Individual provider Active NPI

Kevin Lawrence Shaevitz, CHIROPRACTOR DC

  • Chiropractor
  • Yorba Linda, CA
National Provider Identifier
1013023712
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23109 Issued in CA
Practice address
22222 La Palma Ave
Yorba Linda, CA 92887
Phone
(714) 692-7138
Fax
(714) 692-7141
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC23109 CA Primary

Addresses

Primary practice location

22222 La Palma Ave
Yorba Linda, CA 92887

Mailing address

22222 La Palma Ave
Yorba Linda, CA 92887
Phone (714) 692-7138

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC23109CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Health & Wellness Medical Group a Professional Corporation Current Accepting new patients
Nicole Garcia Medical, PC Current Accepting new patients
Shaevitz Chiropractic Corperation Chiropractor Current Accepting new patients

Locations

22224 La Palma Ave
Ste A
Yorba Linda, CA 92887
Phone (714) 692-7138

Organizations & group practices 3

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013023712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22222 LA PALMA AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "92887",
            "telephone_number": "714-692-7138",
            "fax_number": "714-692-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22222 LA PALMA AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "92887",
            "telephone_number": "714-692-7138",
            "fax_number": "714-692-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAEVITZ",
        "first_name": "KEVIN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "CHIROPRACTOR DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.