Individual provider Active NPI

Daniel Eric Shuemake, DC

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1164568853
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5076 Issued in CO
Practice address
5657 S Himalaya St Ste 250
Centennial, CO 80015-5310
Phone
(303) 617-0777
Fax
(303) 617-1510
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5076 CO Primary

Addresses

Primary practice location

5657 S Himalaya St Ste 250
Centennial, CO 80015-5310

Mailing address

5657 S Himalaya St Ste 250
Centennial, CO 80015-5310
Phone (303) 617-0777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422001574 CO Practitioner - Chiropractic 0244225928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5657 S Himalaya St
Suite 250
Centennial, CO 80015-5310
Phone (303) 617-0777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5076COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shuemake Family Chiropractic, Inc. Chiropractor CurrentSince Sep 28, 2007 Accepting new patients

Locations

5657 S Himalaya St
Ste 280
Centennial, CO 80015
Phone (303) 617-0777

5657 S Himalaya St
Ste 250
Centennial, CO 80015
Phone (303) 617-0777

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1164568853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5657 S HIMALAYA ST STE 250",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155310",
            "telephone_number": "303-617-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5657 S HIMALAYA ST STE 250",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155310",
            "telephone_number": "303-617-0777",
            "fax_number": "303-617-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUEMAKE",
        "first_name": "DANIEL",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.