Timothy R. Shah, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007122 Issued in MI

Practice address

23280 Farmington Rd
Farmington, MI 48336-3100

Phone

(248) 477-1492

NPI assigned

Nov 2, 2006

Last updated

Aug 28, 2012By 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jonathan Cromwell D.C., P.C.Group PAC ID 2163681073, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jonathan Cromwell D.C., P.C.

  • Chiropractor
  • Farmington, MI
  • NPI 1558631093
  Medicare reassignment Care Compare group NPD
• Stoller Clinic PC Dba the Lowen Clinic

  • Chiropractor
  • Farmington, MI
  • NPI 1659446318
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1073692059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23280 FARMINGTON RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363100",
            "telephone_number": "248-477-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23280 FARMINGTON RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363100",
            "telephone_number": "248-477-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TIMOTHY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-MY LICENSE #",
            "identifier": "TS007122",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "350043437",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "950F353850",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derrick Sebree Jr., PSYD
• William Richard Semperger, DMD
• Senior Caregiving Solutions of Michigan
• George Juraj Sertic, CSA
• Priti P Shah, D.C.
• Elizabeth Shaw
• Shawqi E Halabu M.D. PC
• Kamran F Sheikh, M.D.
• Aaron Michael Shepherd, M.A., PSY.S.
• Jessica Sara Sherbin, PA

• Chiropractor in Farmington, MI
• Providers in Farmington, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.