Ian Wesley Shaw, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

IS007218 Issued in MI

Practice address

1002 10TH Ave
Port Huron, MI 48060-3402

Phone

(810) 989-7429

Fax

(810) 989-2001

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shaw Chiropractic, PCGroup PAC ID 6406954437, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: doc1@sc0061.direct.chirotouch.md

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.

• Shaw Chiropractic, PC

  • Chiropractor
  • Port Huron, MI
  • NPI 1720289408
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154327377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 10TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603402",
            "telephone_number": "810-989-7429",
            "fax_number": "810-989-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 10TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603402",
            "telephone_number": "810-989-7429",
            "fax_number": "810-989-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "IAN",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "IS007218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Matthew Sharkey, L.M.S.W
• Lonnie Rae Sharkey, L.L.P C.A.A.D.C
• Matthew C Sharobeem, DO
• James William Sharpe, MD
• Shaw Chiropractic, PC
• Shari Shehata
• Trent Sheldon
• Derek Larry Sheridan
• Chelsea Sherman, LMSW
• Jane M Sherwood

• Chiropractor in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.