Organization Active NPI

Encompass Spinal and Integrated Wellness

  • Orthopedic Chiropractor
  • Red Bank, NJ
National Provider Identifier
1164038600
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
Legal business name
ENCOMPASS SPINAL AND INTEGRATED WELLNESS
Practice address
46 Natalie Way
Red Bank, NJ 07701-5250
Phone
(732) 336-9878
Fax
(732) 254-4610
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Dr. Shawn M Morris, DCNPI 1093881914
Title
Senior Chiropractor
Phone
(732) 336-9878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X Primary

Addresses

Primary practice location

46 Natalie Way
Red Bank, NJ 07701-5250

Mailing address

46 Natalie Way
Red Bank, NJ 07701-5250
Phone (732) 336-9878

Other identifiers 1

IdentifierTypeStateIssuer
1093881914OtherNJSTATE OF NJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201021002597 NJ Part B Supplier - Clinic/Group Practice 7214357755 Receives reassigned benefits from 1 practitioner
Practice locations: East Brunswick, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1164038600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 NATALIE WAY",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015250",
            "telephone_number": "732-336-9878",
            "fax_number": "732-254-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 NATALIE WAY",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015250",
            "telephone_number": "732-336-9878",
            "fax_number": "732-254-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOMPASS SPINAL AND INTEGRATED WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR CHIROPRACTOR",
        "authorized_official_telephone_number": "732-336-9878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NJ",
            "identifier": "1093881914",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.