Randall R. Shaffer, D.C. Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1820 Issued in OH

Legal business name

RANDALL R. SHAFFER, D.C. INC.

Practice address

1038 Kauffman Ave
Fairborn, OH 45324-3815

Phone

(937) 878-8080

Fax

(937) 878-7072

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Randall R Shaffer, D.C.NPI 1811993256

Title

Chiropractor

Phone

(937) 878-8080

Specialties & licenses 1

Addresses

Other names 1

• Shaffer Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

Brookville Chiropractic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Randall R. Shaffer, D.C., Inc.

  • Chiropractor
  • Brookville, OH
  • NPI 1093856379
  NPD tax ID

Locations

Practitioners 4

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

• Randall R Shaffer, D.C.

  • Chiropractor
  • Brookville, OH
  • NPI 1811993256
  Medicare reassignment NPD Authorized official
• Janet Ruckrigl, L.M.T.

  • Massage Therapist
  • Fairborn, OH
  • NPI 1154441574
  NPD (past)
• Terry L. Shaffer, D.C.

  • Chiropractor
  • Fairborn, OH
  • NPI 1588620678
  NPD (past)
• Ryan A Shank, D.C.

  • Chiropractor
  • Englewood, OH
  • NPI 1790727386
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285775601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 KAUFFMAN AVE",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453243815",
            "telephone_number": "937-878-8080",
            "fax_number": "937-878-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 KAUFFMAN AVE",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453243815",
            "telephone_number": "937-878-8080",
            "fax_number": "937-878-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL R. SHAFFER, D.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "937-878-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shaffer Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela M Quijano, AIDE
• Joseph Raines
• Eileen Ramirez, DMD
• Rylee Noelle Ramirez, MD
• Ranada LLC
• Scott J Randall
• Sonia M Rapp
• Brett Rappold
• Heather Ratliff
• Johnnie Raymond

• Chiropractor in Fairborn, OH
• Providers in Fairborn, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.