Individual provider Active NPI

Richard A Shaw, DC

  • Chiropractor
  • Zanesville, OH
National Provider Identifier
1124116447
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1607 Issued in OH
Practice address
1400 Brandywine Blvd
Zanesville, OH 43701-1083
Phone
(740) 450-9000
Fax
(740) 450-2494
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1607 OH Primary

Addresses

Primary practice location

1400 Brandywine Blvd
Zanesville, OH 43701-1083

Mailing address

PO Box 8132
Zanesville, OH 43702-8132
Phone (740) 450-9000

Other identifiers 1

IdentifierTypeStateIssuer
0994107MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000392 OH Practitioner - Chiropractic 4385547983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zanesville Chiropractic IncGroup PAC ID 2668375254, 2 clinicians

Practice addresses (Care Compare)

1400 Brandywine Blvd
Zanesville, OH 43701-1083
Phone (740) 450-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1607OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Zanesville Chiropractic, Inc Chiropractor CurrentSince Dec 1, 2005 Accepting new patients
Zanesville Medical Center Inc Chiropractor CurrentSince Jan 17, 2012 Accepting new patients
Chiropractic Associates of New Chiropractor PastSince Nov 8, 2016 Accepting new patients

Locations

4810 W Broad St
Columbus, OH 43228
Phone (614) 878-3533

1400 Brandywine Blvd
Zanesville, OH 43701
Phone (740) 450-9000

Organizations & group practices 3

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1124116447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8132",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437028132",
            "telephone_number": "740-450-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRANDYWINE BLVD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011083",
            "telephone_number": "740-450-9000",
            "fax_number": "740-450-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0994107",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.