Jordan D Shaw, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5867 Issued in OR

Practice address

333 SW 5TH St Ste B
Grants Pass, OR 97526-2509

Phone

(541) 471-0397

Fax

(541) 471-6459

NPI assigned

Dec 4, 2017

Last updated

Dec 4, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Axis Health IncGroup PAC ID 7214119544, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Axis Health, Inc.

  • Chiropractor
  • Grants Pass, OR
  • NPI 1780988261
  Medicare reassignment Care Compare group NPD
• Ryan Baker, D.C. P.C.

  • Chiropractor
  • Grants Pass, OR
  • NPI 1336203835
  NPD

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1255846986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SW. 5TH ST. SUITE B",
            "address_2": "AXIS HEALTH INC",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97526",
            "telephone_number": "541-471-0397",
            "fax_number": "541-471-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SW 5TH ST STE B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262509",
            "telephone_number": "541-471-0397",
            "fax_number": "541-471-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JORDAN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Sharp, FNP-C
• Jerry L Sharpe Jr., PSS
• Joshua Sharpe
• Lalena Shaver
• Dereck Desmond Shaw, L.AC.
• Michael Darran Shea, QMHA
• Dana Sheehan, DNP, APRN-BC
• Mitchell K Sheeler, LD
• Sheer Medical LLC
• Jalen Shegrud

• Chiropractor in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.