Individual provider Active NPI

Daniel A Shaye, D.C.

  • Sports Physician Chiropractor
  • Williamsburg, VA
National Provider Identifier
1114927217
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0104001672 Issued in VA
Practice address
1307 Jamestown Rd Ste 103
Williamsburg, VA 23185-3381
Phone
(757) 229-4161
Fax
(757) 564-0581
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 0104001672 VA Primary

Addresses

Primary practice location

1307 Jamestown Rd Ste 103
Williamsburg, VA 23185-3381

Mailing address

1307 Jamestown Rd Ste 103
Williamsburg, VA 23185-3381
Phone (757) 229-4161

Other identifiers 2

IdentifierTypeStateIssuer
15529P62OtherVAMEDICARE INDIVIDUAL PTAN
C05162OtherVAMEDICARE GROUP PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080102000339 VA Practitioner - Chiropractic 0749371466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Performance Chiropractic LLCGroup PAC ID 4385735000, 2 clinicians

Practice addresses (Care Compare)

1307 Jamestown Rd
Suite 103
Williamsburg, VA 23185-3381
Phone (757) 229-4161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104001672VAMDSports Physician 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1114927217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 JAMESTOWN RD STE 103",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853381",
            "telephone_number": "757-229-4161",
            "fax_number": "757-564-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 JAMESTOWN RD STE 103",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853381",
            "telephone_number": "757-229-4161",
            "fax_number": "757-564-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYE",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104001672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "15529P62",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C05162",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.