Individual provider Active NPI

Shaylyn Weber, D.C.

  • Chiropractor
  • Albuquerque, NM
National Provider Identifier
1083087472
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2130 Issued in NM
Practice address
2621 Coors Blvd NW Ste D
Albuquerque, NM 87120-1729
Phone
(608) 434-2404
NPI assigned
Nov 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2130 NM Primary

Addresses

Primary practice location

2621 Coors Blvd NW Ste D
Albuquerque, NM 87120-1729

Mailing address

6908 Porlamar Rd NW
Albuquerque, NM 87120-6067
Phone (608) 434-2404

Other practice location 1

4351 Jager Dr NE
Ste L
Rio Rancho, NM 87144-7523
Phone (505) 867-1122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151201001053 NM Practitioner - Chiropractic 4880994680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2621 Coors Blvd NW
Suite D
Albuquerque, NM 87120-1729
Phone (505) 554-2018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2130NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Family Chiropractic, LLC Chiropractor CurrentSince Nov 1, 2017 Accepting new patients

Locations

2621 Coors Blvd NW
Ste D
Albuquerque, NM 87120
Phone (505) 554-2018

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083087472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 PORLAMAR RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871206067",
            "telephone_number": "608-434-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 COORS BLVD NW STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201729",
            "telephone_number": "608-434-2404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4351 Jager Dr NE",
            "address_2": "Ste L",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871447523",
            "country_code": "US",
            "telephone_number": "505-867-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "SHAYLYN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "2130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.