Richard R. Shaker DC, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RICHARD R. SHAKER DC, PA

Practice address

3314 Henderson Blvd Ste 203
Tampa, FL 33609-2934

Phone

(813) 876-9552

Fax

(813) 877-1558

NPI assigned

Sep 6, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Richard R Shaker, DCNPI 1417931163

Title

President

Phone

(813) 876-9552

Specialties & licenses 1

Addresses

Other names 1

• Shaker Spine & Sport Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Richard Robert Shaker, DC

  • Chiropractor
  • Tampa, FL
  • NPI 1417931163
  Medicare reassignment NPD Authorized official
• Zander Van Schalkwyk, DC

  • Chiropractor
  • Tampa, FL
  • NPI 1356169155
  Medicare reassignment

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1215713102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 HENDERSON BLVD STE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092934",
            "telephone_number": "813-876-9552",
            "fax_number": "813-877-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 HENDERSON BLVD STE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092934",
            "telephone_number": "813-876-9552",
            "fax_number": "813-877-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD R. SHAKER DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "SHAKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-876-9552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shaker Spine & Sport Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Lewis MD PA
• Richard M Kernagis DMD PA
• Richard M. Levine, DDS, PA
• Richard Mancuso DMD PLLC
• Richard R Brunelle MD, PA
• Debra Richard, MA
• Erin Richard, LCSW
• Alyssa Richards
• Dan R. Richards, M.D.
• Darryl Richards

• Chiropractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.