Organization Active NPI

Nova Chiropractic - a Shaw Optimal Health Chiropractic Corp

  • Chiropractor
  • Santa Clara, CA
National Provider Identifier
1245991512
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NOVA CHIROPRACTIC - A SHAW OPTIMAL HEALTH CHIROPRACTIC CORP
Practice address
844 Jackson St
Santa Clara, CA 95050-5419
Phone
(408) 249-0382
NPI assigned
Jan 7, 2022
Last updated
Jan 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
Dr. Heather Ann Shaw, DCNPI 1952336760
Title
President
Phone
(408) 249-0382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

844 Jackson St
Santa Clara, CA 95050-5419

Mailing address

844 Jackson St
Santa Clara, CA 95050-5419
Phone (408) 249-0382

Other names 1

  • Nova Chiropractic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220214000178 CA Part B Supplier - Clinic/Group Practice 2860885910 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Clara, CA

National Provider Directory

National Provider Directory

Locations

844 Jackson St
Santa Clara, CA 95050
Phone (408) 249-0382

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1245991512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 JACKSON ST",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505419",
            "telephone_number": "408-249-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 JACKSON ST",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505419",
            "telephone_number": "408-249-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA CHIROPRACTIC - A SHAW OPTIMAL HEALTH CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-249-0382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.