Shiver Chiropractic Clinic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2041 Issued in AL

Legal business name

SHIVER CHIROPRACTIC CLINIC, P.C.

Practice address

809 E Lee St Ste a
Enterprise, AL 36330-2072

Phone

(334) 393-3955

Fax

(334) 393-4372

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Andrew Shiver, D.C.NPI 1043388283

Title

President

Phone

(334) 393-9355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hannen Health Care Clinic, P.C. Former legal business name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 4

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

• Charles Andrew Shiver, D.C.

  • Chiropractor
  • Enterprise, AL
  • NPI 1043388283
  Medicare reassignment NPD Authorized official
• Scott K Hannen, D.C.

  • Chiropractor
  • Enterprise, AL
  • NPI 1356595573
  NPD (past)
• Les Wayne Hogan, OT/L

  • Contractor
  • Enterprise, AL
  • NPI 1457415473
  NPD (past)
• James Ambus Powell Jr., D.C.

  • Chiropractor
  • Tifton, GA
  • NPI 1124214689
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1164582557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311427",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363311427",
            "telephone_number": "334-393-9355",
            "fax_number": "334-393-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E LEE ST STE A",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302072",
            "telephone_number": "334-393-3955",
            "fax_number": "334-393-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVER CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "SHIVER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-393-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "515-54001",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hannen Health Care Clinic, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• William Wade Sharp, CRNA
• Brittaney Shaw
• Jadie Marie Shaw, ALC
• Fred Roland Shehee
• Valerie Pearl Sherrer, DO
• Charles Andrew Shiver, D.C.
• Jasmine Paige Shiver
• Janice Simmons, RBT
• Trenton Jay Singletary, NCC, ALC
• Katelynn Alexis Sketoe, BCBA, LBA

• Chiropractor in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.