Active NPI
Mark B. Shapiro
- Rehabilitation Chiropractor
- Oakland, CA
National Provider Identifier
1275610842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC 19278
- Practice address
- 3300 Webster St Ste 408
Oakland, CA 94609-3149 - Phone
- (510) 444-2772
- Fax
- (510) 444-2773
- NPI assigned
- Nov 1, 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC 19278 | CA | Primary |
Addresses
Primary practice location
3300 Webster St Ste 408
Oakland, CA 94609-3149
Mailing address
3300 Webster St Ste 408
Oakland, CA 94609-3149
Phone (510) 444-2772
Other names 1
- Dr. Mark B. Shapiro
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 19278 | CA | MD | Rehabilitation Chiropractor |
| 19278 | CA | MD | Vehicle Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1275610842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 WEBSTER ST STE 408",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093149",
"telephone_number": "510-444-2772",
"fax_number": "510-444-2773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 WEBSTER ST STE 408",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093149",
"telephone_number": "510-444-2772",
"fax_number": "510-444-2773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "MARK",
"middle_name": "B.",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "DC 19278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARK",
"last_name": "SHAPIRO",
"middle_name": "B.",
"prefix": "DR.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.