Organization Active NPI

Shipley Chiropractic PC

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1053475756
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SHIPLEY CHIROPRACTIC PC
Practice address
2292 W Magee Rd
Suite 170
Tucson, AZ 85742-4301
Phone
(520) 797-2922
Fax
(520) 742-0732
NPI assigned
Dec 20, 2006
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Larry Alan Shipley, DCNPI 1164580189
Title
President
Phone
(520) 797-2922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

2292 W Magee Rd
Suite 170
Tucson, AZ 85742-4301

Mailing address

2292 W Magee Rd
Suite 170
Tucson, AZ 85742-4329
Phone (520) 797-2922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401000808 AZ Part B Supplier - Clinic/Group Practice 8224020979 Receives reassigned benefits from 2 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

2292 W Magee Rd
Ste 170
Tucson, AZ 85742
Phone (520) 797-2922

3821 W Price Club Dr
Ste 115
Tucson, AZ 85741
Phone (520) 797-2922

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1053475756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2292 W MAGEE RD",
            "address_2": "SUITE 170",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424329",
            "telephone_number": "520-797-2922",
            "fax_number": "520-742-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 W MAGEE RD",
            "address_2": "SUITE 170",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424301",
            "telephone_number": "520-797-2922",
            "fax_number": "520-742-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPLEY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "SHIPLEY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-797-2922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.