Individual provider Active NPI

Duncan J. Shields, D.C.

  • Chiropractor
  • Burke, VA
National Provider Identifier
1043529209
Registry record updated Nov 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001372 Issued in VA
Practice address
5294 Lyngate CT
Burke, VA 22015-1688
Phone
(703) 621-7148
Fax
(703) 621-7119
NPI assigned
Oct 5, 2010
Last updated
Nov 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001372 VA Primary

Addresses

Primary practice location

5294 Lyngate CT
Burke, VA 22015-1688

Mailing address

5294 Lyngate CT
Burke, VA 22015-1688
Phone (703) 621-7148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110822000347 DC Practitioner - Chiropractic 2961672357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5294 Lyngate CT
Burke, VA 22015-1688
Phone (703) 621-7148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104001372VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hands-on Health, LLC Chiropractor CurrentSince Jun 21, 2011 Accepting new patients
Back 2 Action Chiropractic LLC Chiropractor Past Accepting new patients

Locations

5294 Lyngate Ct
Burke, VA 22015
Phone (703) 425-0048

9567 Braddock Rd
Fairfax, VA 22032
Phone (703) 425-0048

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699660800000",
    "number": "1043529209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5294 LYNGATE CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151688",
            "telephone_number": "703-621-7148",
            "fax_number": "703-621-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5294 LYNGATE CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151688",
            "telephone_number": "703-621-7148",
            "fax_number": "703-621-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "DUNCAN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-05",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.