Shawn Nielsen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

189858 Issued in AK

Practice address

2490 E 42ND Ave
Anchorage, AK 99508-5206

Phone

(907) 561-4325

NPI assigned

Feb 15, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alaska Healing Arts Chiropractic

  • Chiropractor
  • Anchorage, AK
  • NPI 1457421927
  NPD (past)

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1073268348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 E 42ND AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 E 42ND AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085206",
            "telephone_number": "907-561-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "SHAWN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AK",
            "license": "189858",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AK",
            "license": "189858",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "189858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anneliese Niederhauser
• Alison Evanson Nielsen-Bryant, LMSW
• Cindy Nielsen
• Jan Nielsen
• Robert C Nielsen, D.C.
• Timothy Nienhueser, RN
• Angela Nieto
• Kelsey Janet Nieto, APRN
• Thomas Samuel Nighswander, M.D. MPH
• Nightingale Assisted Living Home LLC

• All providers in Anchorage, AK
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.