Active NPI
Shae-Run Inc.
- Clinic/Center
- Decatur, TX
National Provider Identifier
1124192679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- F002746
- Legal business name
- SHAE-RUN INC.
- Practice address
- 1700 W Business 380
Decatur, TX 76234-3232 - Phone
- (940) 627-7811
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ron W Westbrook, D.C., N.D.
- Title
- President
- Phone
- (940) 627-7811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | F002746 | TX | Primary |
Addresses
Primary practice location
1700 W Business 380
Decatur, TX 76234-3232
Mailing address
1700 W Business 380
Decatur, TX 76234-3232
Phone (940) 627-7811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841296704 | Other | TX | DR. WESTBROOK'S NPI |
Other names 1
- Health Innovations Clinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1085351 | Health Innovations Clinic | Certificate of waiver | Jun 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
1700 W Business 380
Decatur, TX 76234
Phone (940) 627-7811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217203200000",
"number": "1124192679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 W BUSINESS 380",
"city": "DECATUR",
"state": "TX",
"postal_code": "762343232",
"telephone_number": "940-627-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W BUSINESS 380",
"city": "DECATUR",
"state": "TX",
"postal_code": "762343232",
"telephone_number": "940-627-7811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAE-RUN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2008-07-28",
"status": "A",
"authorized_official_last_name": "WESTBROOK",
"authorized_official_first_name": "RON",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "940-627-7811",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C., N.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "TX",
"license": "F002746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. WESTBROOK'S NPI",
"identifier": "1841296704",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Health Innovations Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.