Active NPI
Alan Martin Shaff, D.C.
- Chiropractor
- Boca Raton, FL
National Provider Identifier
1144499641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0004361
- Practice address
- 1906 Clint Moore Rd
Suite 4
Boca Raton, FL 33496-2663 - Phone
- (561) 271-4102
- Fax
- (561) 638-2987
- NPI assigned
- Feb 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0004361 | FL | Primary |
Addresses
Primary practice location
1906 Clint Moore Rd
Suite 4
Boca Raton, FL 33496-2663
Mailing address
5255 Monterey Circle
Suite 69
Delray Beach, FL 33484
Phone (561) 271-4102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380949800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0004361 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan M Shaff DC | Past | Accepting new patients |
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.
-
- Sports Physician Chiropractor
- Delray Beach, FL
- NPI 1336240654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1144499641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5255 MONTEREY CIRCLE",
"address_2": "SUITE 69",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "33484",
"telephone_number": "561-271-4102",
"fax_number": "561-638-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 CLINT MOORE RD",
"address_2": "SUITE 4",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334962663",
"telephone_number": "561-271-4102",
"fax_number": "561-638-2987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFF",
"first_name": "ALAN",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-28",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0004361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380949800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.