Shawn A Claycomb, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007297L Issued in PA

Practice address

405 Water St
Roaring Spring, PA 16673-1915

Phone

(804) 224-0081

NPI assigned

Dec 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

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  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073673026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WATER ST",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166731915",
            "telephone_number": "814-224-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 WATER ST",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166731915",
            "telephone_number": "804-224-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYCOMB",
        "first_name": "SHAWN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007297L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn D Brumbaugh, RN, CRNP
• Taylor Buchanan, PT
• Brian Kent Burket, LPC
• Kelly Lee Bushore, PHYSICAL THERAPIST
• Central Pennsylvania Imaging, PC
• Concussion Management Center of Central PA, LLC
• Jennifer L Covaleski, PT
• Cove Family Practice, Inc.
• Cove Home Care, LLC
• Cove Radiology Associates, PC

• Chiropractor in Roaring Spring, PA
• Providers in Roaring Spring, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.