Organization Active NPI

Shields Chiropractic Clinic, Inc

  • Chiropractor
  • Greensburg, PA
National Provider Identifier
1285705707
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-0034989-L Issued in PA
Legal business name
SHIELDS CHIROPRACTIC CLINIC, INC
Practice address
1952 Route 66
Greensburg, PA 15601
Phone
(724) 834-7882
Fax
(724) 834-7886
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Dr. David Paul Shields, DCNPI 1093792434
Title
Chiropractic Owner
Phone
(724) 834-7882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-0034989-L PA Primary

Addresses

Primary practice location

1952 Route 66
Greensburg, PA 15601

Mailing address

PO Box 205
Delmont, PA 15626-0205
Phone (724) 834-7882

Other identifiers 1

IdentifierTypeStateIssuer
0010959110003MedicaidPA

Other names 1

  • Shields Chiropractic Clinic Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100629000678 PA Part B Supplier - Clinic/Group Practice 5193856508 Receives reassigned benefits from 1 practitioner
Practice locations: Greensburg, PA

National Provider Directory

National Provider Directory

Locations

1952 State Route 66
Greensburg, PA 15601
Phone (724) 834-7882

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1285705707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156260205",
            "telephone_number": "724-834-7882",
            "fax_number": "724-834-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 ROUTE 66",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-834-7882",
            "fax_number": "724-834-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELDS CHIROPRACTIC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIROPRACTIC OWNER",
        "authorized_official_telephone_number": "724-834-7882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-0034989-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010959110003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shields Chiropractic Clinic Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.

Verify at the official NPI Registry.