Active NPI
Shayda Clarke, DC
- Chiropractor
- Encinitas, CA
National Provider Identifier
1265938260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34121
- Practice address
- 1351 Encinitas Blvd
Encinitas, CA 92024-2845 - Phone
- (760) 942-3321
- NPI assigned
- Mar 30, 2018
- Last updated
- May 16, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34121 | CA | Primary |
Addresses
Primary practice location
1351 Encinitas Blvd
Encinitas, CA 92024-2845
Mailing address
1351 Encinitas Blvd
Encinitas, CA 92024-2845
Phone (760) 942-3321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190620003254 | CA | Practitioner - Chiropractic | 0244564417 | Practice locations: La Jolla, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leucadia Chiropactic Clinic, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Encinitas, CA
- NPI 1023236098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1265938260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 ENCINITAS BLVD",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920242845",
"telephone_number": "760-942-3321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 ENCINITAS BLVD",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920242845",
"telephone_number": "760-942-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "SHAYDA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-30",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encinitas, CA
- Patricia Chu, MD
- Mandy S Chuey, LCSW
- Allan Christopher Churukian, M.D.
- Cipperoni Sports Chiropractic, Inc.
- Anthony Cipperoni, DC
- Claudia Cortadi, DDS Inc. (Ablantis Dental Office)
- Clear Sky Counseling Professional Clincal Counselor PC
- Nancy A Clementino, MD
- Clinton H. Park, D.D.S., Inc (Encinitas Smiles Dentistry Dental Group)
- Paul Andrew Clonts, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.