NPIMap

Organization Active NPI

David W Shaw DC PA

  • Chiropractor
  • Fort Pierce, FL
National Provider Identifier
1083895387
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHOOO4544 Issued in FL
Legal business name
DAVID W SHAW DC PA
Practice address
1006 Virginia Ave
Fort Pierce, FL 34982-3522
Phone
(772) 466-5600
Fax
(772) 466-1652
NPI assigned
Nov 15, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
David W ShawNPI 1609937838
Title
President
Phone
(772) 466-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHOOO4544 FL Primary

Addresses

Primary practice location

1006 Virginia Ave
Fort Pierce, FL 34982-3522

Mailing address

1006 Virginia Ave
Fort Pierce, FL 34982-3522
Phone (772) 466-5600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1083895387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 VIRGINIA AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349823522",
            "telephone_number": "772-466-5600",
            "fax_number": "772-466-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 VIRGINIA AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349823522",
            "telephone_number": "772-466-5600",
            "fax_number": "772-466-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W SHAW DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-466-5600"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CHOOO4544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.