Active NPI
Shane D Stewart, D.C.
- Chiropractor
- Aiken, SC
National Provider Identifier
1154396299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- SC812
- Practice address
- 205 Silver Bluff Rd
Aiken, SC 29803-7325 - Phone
- (803) 648-0189
- NPI assigned
- Feb 22, 2006
- 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 | SC812 | SC | Primary |
Addresses
Primary practice location
205 Silver Bluff Rd
Aiken, SC 29803-7325
Mailing address
205 Silver Bluff Rd
Aiken, SC 29803-7325
Phone (803) 648-0189
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 |
|---|---|---|---|
| 812 | SC | MD | Mental Health Counselor |
| SC812 | SC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1154396299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 SILVER BLUFF RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298037325",
"telephone_number": "803-648-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 SILVER BLUFF RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298037325",
"telephone_number": "803-648-0189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "SHANE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "SC812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.