Individual provider Active NPI

David Paul Shields, DC

  • Chiropractor
  • Greensburg, PA
National Provider Identifier
1093792434
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003499L Issued in PA
Practice address
RR 3 Box 299P
Greensburg, PA 15601-9754
Phone
(724) 834-7882
Fax
(724) 834-7886
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003499L PA Primary

Addresses

Primary practice location

RR 3 Box 299P
Greensburg, PA 15601-9754

Mailing address

PO Box 205
Shields Chiropractic Clinic
Delmont, PA 15626-0205
Phone (724) 834-7882

Other identifiers 1

IdentifierTypeStateIssuer
0010959110003MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929001268 PA Practitioner - Chiropractic 0446376230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1952 State Route 66
Greensburg, PA 15601-9282
Phone (724) 834-7882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC003499LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shields Chiropractic Clinic, Inc Chiropractor CurrentSince Jun 24, 1987 Accepting new patients
Ernesty Chiropractic, Inc. Chiropractor Past Accepting new patients

Locations

1952 State Route 66
Greensburg, PA 15601
Phone (724) 834-7882

Organizations & group practices 2

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1093792434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "address_2": "SHIELDS CHIROPRACTIC CLINIC",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156260205",
            "telephone_number": "724-834-7882",
            "fax_number": "724-834-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 299P",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019754",
            "telephone_number": "724-834-7882",
            "fax_number": "724-834-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003499L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010959110003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.