Organization Active NPI

Shumard Chiropractic Inc

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1215166434
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29400 Issued in CA
Legal business name
SHUMARD CHIROPRACTIC INC
Practice address
7094 Miramar Rd Ste 109
San Diego, CA 92121-2311
Phone
(858) 564-7081
NPI assigned
Jul 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Dr. Jason Shumard Alan Shumard, D.C.
Title
President
Phone
(858) 564-7081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC29400 CA Primary

Addresses

Primary practice location

7094 Miramar Rd Ste 109
San Diego, CA 92121-2311

Mailing address

7094 Miramar Rd Ste 109
San Diego, CA 92121-2311
Phone (858) 564-7081

National Provider Directory

National Provider Directory

Locations

6904 Miramar Rd
Ste 214
San Diego, CA 92121
Phone (858) 564-7081

7094 Miramar Rd
Ste 109
San Diego, CA 92121
Phone (858) 564-7081

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1215166434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7094 MIRAMAR RD STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212311",
            "telephone_number": "858-564-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7094 MIRAMAR RD STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212311",
            "telephone_number": "858-564-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUMARD CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "SHUMARD",
        "authorized_official_first_name": "JASON SHUMARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-564-7081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.