Shaver Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1781 Issued in NC

Legal business name

SHAVER CHIROPRACTIC

Practice address

4421 Junction Park Drive
Suite 100
Wilmington, NC 28412-2263

Phone

(910) 452-5555

Fax

(910) 452-5044

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Todd Shaver, DC DICCPNPI 1871690222

Title

President

Phone

(910) 452-5555

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Shaver Chiropractic & Natural Medicine Office, PA Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

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

• Raymond Todd Shaver, DC DICCP

  • Chiropractor
  • Wilmington, NC
  • NPI 1871690222
  Medicare reassignment Care Compare group NPD Authorized official
• Brandon Thomas Gullo, DC

  • Chiropractor
  • Wilmington, NC
  • NPI 1881256741
  Medicare reassignment Care Compare group NPD
• Megan Elizabeth Bandish Shirley, D.C.

  • Chiropractor
  • Wilmington, NC
  • NPI 1245425560
  NPD
• Nancy Beth Kotz, MSW LCSW

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1992972020
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1023115474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 JUNCTION PARK DRIVE",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122263",
            "telephone_number": "910-452-5555",
            "fax_number": "910-452-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 JUNCTION PARK DRIVE",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122263",
            "telephone_number": "910-452-5555",
            "fax_number": "910-452-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAVER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-452-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC DICCP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1781",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "NC",
            "license": "1781",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PROVIDER PTAN",
            "identifier": "2446941A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890877B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0877B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER PTAN",
            "identifier": "2446941B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shaver Chiropractic & Natural Medicine Office, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Sharpe, PHARMD
• Teddi Jo Sharpton, BA, LMBT
• Colleen Mary Shaughnessy, NURSE PRACTITIONER
• Michael Reilly Shaughnessy, MD
• Leah Shavalier, PSYD
• Raymond Todd Shaver, DC DICCP
• Ashley Shaw
• Charles Thomas Shaw, PHARMD
• David Lawrence Shaw, PA
• Deborah L Shaw, LMBT

• All providers in Wilmington, NC
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.