Daniel Albert Shaddock, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11665 Issued in TX

Practice address

1807 W Slaughter LN
Suite 450
Austin, TX 78748-6230

Phone

(512) 280-6103

NPI assigned

Jan 24, 2011

Last updated

Sep 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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 TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Absolute Life Wellness Center, IncGroup PAC ID 0042448235, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Absolute Life Wellness Center, Inc

  • Chiropractor
  • Austin, TX
  • NPI 1336574466
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1073818936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 W SLAUGHTER LN",
            "address_2": "SUITE 450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486230",
            "telephone_number": "512-280-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 W SLAUGHTER LN",
            "address_2": "SUITE 450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486230",
            "telephone_number": "512-280-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADDOCK",
        "first_name": "DANIEL",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-24",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SGM Counseling PLLC
• Sha LLC (FirstCare)
• Shabnam Rehman MD PLLC
• Vicki Shackelford, LPC
• Caroline M Shackett, PHD
• Ashkan Shademan, M.D.
• Leah Shadwick, L.AC.
• Shady Hollow Dental PLLC (Oak Park Dental)
• Zane Aaron Shaeffer, M.D.
• Jennifer Shafer, MD

• Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.