Organization Active NPI

Shae-Run Inc.

  • Clinic/Center
  • Decatur, TX
National Provider Identifier
1124192679
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
F002746 Issued in TX
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

Updated by the provider on Jul 28, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1841296704OtherTXDR. WESTBROOK'S NPI

Other names 1

  • Health Innovations Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1085351Health Innovations Clinic1700 W Business 380, Decatur, TX 76234Certificate of waiverJun 15, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.