Active NPI
Derek Alan Shuman, DC
- Chiropractor
- Hemet, CA
National Provider Identifier
1013079201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC22854
- Practice address
- 106 S Harvard St
Hemet, CA 92543-4234 - Phone
- (951) 929-1907
- Fax
- (951) 929-2027
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC22854 | CA | Primary |
Addresses
Primary practice location
106 S Harvard St
Hemet, CA 92543-4234
Mailing address
106 S Harvard St
Hemet, CA 92543-4234
Phone (951) 929-1907
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC22854 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1013079201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 S HARVARD ST",
"city": "HEMET",
"state": "CA",
"postal_code": "925434234",
"telephone_number": "951-929-1907",
"fax_number": "951-929-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 S HARVARD ST",
"city": "HEMET",
"state": "CA",
"postal_code": "925434234",
"telephone_number": "951-929-1907",
"fax_number": "951-929-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMAN",
"first_name": "DEREK",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC22854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.