NPIMap

Organization Active NPI

Charles Shaw

Doing business as Avon Chiropractic

  • Chiropractor
  • Avon, NY
National Provider Identifier
1255892972
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHARLES SHAW
Doing business as
Avon Chiropractic
Practice address
1241 E River Rd
Avon, NY 14414-9539
Phone
(585) 226-8040
NPI assigned
Mar 26, 2019
Last updated
Mar 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Dr. Charles Neal Shaw, DC
Title
Owner
Phone
(585) 226-8040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1241 E River Rd
Avon, NY 14414-9539

Mailing address

1241 E River Rd
Avon, NY 14414-9539
Phone (585) 226-8040

Other names 1

  • Avon Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1241 E River Rd
Avon, NY 14414
Phone (585) 226-8040

Practitioners & affiliated clinicians

Practitioners 4

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": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1255892972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 E RIVER RD",
            "city": "AVON",
            "state": "NY",
            "postal_code": "144149539",
            "telephone_number": "585-226-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 E RIVER RD",
            "city": "AVON",
            "state": "NY",
            "postal_code": "144149539",
            "telephone_number": "585-226-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES SHAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-226-8040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avon Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.