Active NPI
Shane Alan Gold, D.C.
- Chiropractor
- Centennial, CO
National Provider Identifier
1083746614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4592
- Practice address
- 7061 S University Blvd Ste 9
Centennial, CO 80122-1543 - Phone
- (303) 798-2000
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4592 | CO | Primary |
| Rehabilitation Chiropractor | 111NR0400X | 4592 | CO | |
| Acupuncturist | 171100000X | 4592 | CO | |
| Massage Therapist | 225700000X | 4592 | CO | |
| Orthotic Fitter | 225000000X | 4592 | CO | |
| Physical Therapist | 225100000X | 4592 | CO |
Addresses
Primary practice location
7061 S University Blvd Ste 9
Centennial, CO 80122-1543
Mailing address
6851 S Holly Cir
Suite 110
Centennial, CO 80112-1019
Phone (303) 798-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4592 | CO | MD | Rehabilitation Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Centennial, CO
- NPI 1124231592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1083746614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6851 S HOLLY CIR",
"address_2": "SUITE 110",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121019",
"telephone_number": "303-798-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7061 S UNIVERSITY BLVD STE 9",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801221543",
"telephone_number": "303-798-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "SHANE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "4592",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CO",
"license": "4592",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "4592",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "4592",
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "CO",
"license": "4592",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "4592",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.