Shane Lynn Davidson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1992 Issued in NE

Practice address

5100 W US Hwy 290 Service Rd BLDG 2, Ste 100
Austin, TX 78735

Phone

(737) 309-5617

Fax

(800) 564-9101

NPI assigned

Apr 4, 2019

Last updated

Oct 14, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

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.

• Spine and Injury Center of Austin

  • Chiropractor
  • Austin, TX
  • NPI 1750176376
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1083176390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W US HWY 290 SERVICE RD BLDG 2, STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78735",
            "telephone_number": "737-309-5617",
            "fax_number": "800-564-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W US HWY 290 SERVICE RD BLDG 2, STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78735",
            "telephone_number": "737-309-5617",
            "fax_number": "800-564-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "SHANE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1992",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16426",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Douglas Davidson, PHARMD
• Chase A Davidson, DC, CSCS
• Chelsea Davidson, RD, LD
• Joel Todd Davidson, MD
• Katherine N Davidson, FNP
• Ty F Davidson, DDS
• Caroline N Davies, PT, DPT
• Dylan Davies, MA, LPC, LMFT
• Heather L Davies, LCSW
• Kathleen Davies

• 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 Oct 14, 2025; 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.