Active NPI
Noel L Shaw, DC
- Sports Physician Chiropractor
- Tucson, AZ
National Provider Identifier
1265503577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 4092
- Practice address
- 1101 N Wilmot Rd
#229
Tucson, AZ 85712-5100 - Phone
- (520) 721-9331
- Fax
- (520) 721-0325
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 4092 | AZ | Primary |
Addresses
Primary practice location
1101 N Wilmot Rd
#229
Tucson, AZ 85712-5100
Mailing address
1101 N Wilmot Rd
#229
Tucson, AZ 85712-5100
Phone (520) 721-9331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4092 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265503577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 N WILMOT RD",
"address_2": "#229",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857125100",
"telephone_number": "520-721-9331",
"fax_number": "520-721-0325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N WILMOT RD",
"address_2": "#229",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857125100",
"telephone_number": "520-721-9331",
"fax_number": "520-721-0325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "NOEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "AZ",
"license": "4092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.