Individual provider Active NPI

Shane Taffe, D.C.

  • Chiropractor
  • Johnston, IA
National Provider Identifier
1205116993
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007562 Issued in IA
Practice address
8671 Northpark CT
Johnston, IA 50131-2888
Phone
(515) 320-4401
NPI assigned
Aug 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 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 007562 IA Primary

Addresses

Primary practice location

8671 Northpark CT
Johnston, IA 50131-2888

Mailing address

8671 Northpark CT
Johnston, IA 50131-2888
Phone (515) 320-4401

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161103000122 IA Practitioner - Chiropractic 0941472609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 S Phillips St
Algona, IA 50511-2848
Phone (515) 575-9123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Algona Chiropractic Clinic PLLC Chiropractor CurrentSince Oct 19, 2020 Accepting new patients
Taffe Wellness Center PC Chiropractor CurrentSince May 1, 2020 Accepting new patients
Heritage Family Chiropractic, LLC Chiropractor PastSince Sep 12, 2011 Accepting new patients

Locations

105 S Phillips St
Algona, IA 50511
Phone (515) 575-9123

112 S Dodge St
Algona, IA 50511
Phone (515) 295-9414

Organizations & group practices 3

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": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1205116993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8671 NORTHPARK CT",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312888",
            "telephone_number": "515-320-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8671 NORTHPARK CT",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312888",
            "telephone_number": "515-320-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFFE",
        "first_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-25",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.