Active NPI
Daniel A Shaye, D.C.
- Sports Physician Chiropractor
- Williamsburg, VA
National Provider Identifier
1114927217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 0104001672
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15529P62 | Other | VA | MEDICARE INDIVIDUAL PTAN |
| C05162 | Other | VA | MEDICARE GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0104001672 | VA | MD | Sports 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.
-
- Chiropractor
- Williamsburg, VA
- NPI 1497951743
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.