Organization Active NPI

Shafer Chiropractic LLC

  • Chiropractor
  • Greensburg, PA
National Provider Identifier
1093875049
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006283L Issued in PA
Legal business name
SHAFER CHIROPRACTIC LLC
Practice address
2030 Fredrickson PL
Greensburg, PA 15601-9688
Phone
(724) 837-4559
Fax
(724) 837-4356
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dana E Shafer, DCNPI 1255341350
Title
Owner
Phone
(724) 837-4559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC006283L PA Primary

Addresses

Primary practice location

2030 Fredrickson PL
Greensburg, PA 15601-9688

Mailing address

1156 Windcrest Dr
Greensburg, PA 15601-6247
Phone (724) 837-4559

Other identifiers 1

IdentifierTypeStateIssuer
0016853370003MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070313000409 PA Part B Supplier - Clinic/Group Practice 7315040359 Receives reassigned benefits from 1 practitioner
Practice locations: Greensburg, PA

National Provider Directory

National Provider Directory

Locations

2030 Frederickson Pl
Greensburg, PA 15601
Phone (724) 837-4559

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093875049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 WINDCREST DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016247",
            "telephone_number": "724-837-4559",
            "fax_number": "724-837-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 FREDRICKSON PL",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019688",
            "telephone_number": "724-837-4559",
            "fax_number": "724-837-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-837-4559",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006283L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016853370003",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.