Organization Active NPI

Shawn D Doerrfeld DC PL

Doing business as Doerrfeld Chiropractic Injury & Wellness Clinic

  • Chiropractor
  • Palm Coast, FL
National Provider Identifier
1275718728
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9269 Issued in FL
Legal business name
SHAWN D DOERRFELD DC PL
Doing business as
Doerrfeld Chiropractic Injury & Wellness Clinic
Practice address
50 Leanni Way Unit D1
Palm Coast, FL 32137-4756
Phone
(386) 986-1966
NPI assigned
Jan 3, 2008
Last updated
Dec 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Shawn Daniel Doerrfeld, D.C.NPI 1063573269
Title
Managing Member
Phone
(386) 986-1966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 9269 FL Primary

Addresses

Primary practice location

50 Leanni Way Unit D1
Palm Coast, FL 32137-4756

Mailing address

50 Leanni Way Unit D1
Palm Coast, FL 32137-4756
Phone (386) 986-1966

Other names 1

  • Doerrfeld Chiropractic Injury & Wellness Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

50 Leanni Way
Unit D1
Palm Coast, FL 32137
Phone (386) 283-5997

3959 S Nova Rd
Ste 9
Port Orange, FL 32127
Phone (386) 202-2714

Practitioners & affiliated clinicians

Practitioners 1

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1275718728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY UNIT D1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374756",
            "telephone_number": "386-986-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY UNIT D1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374756",
            "telephone_number": "386-986-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN D DOERRFELD DC PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "DOERRFELD",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "386-986-1966",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doerrfeld Chiropractic Injury & Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.